Individual
MRS. JILL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
6005 MONCLOVA RD STE 320, MAUMEE, OH 43537-1862
(419) 893-7134
(419) 893-6942
Mailing address
6005 MONCLOVA RD STE 320, MAUMEE, OH 43537-1862
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0031559
OH
363LW0102X
Women's Health Nurse Practitioner
LE-00041839
OH
Other
Enumeration date
06/22/2022
Last updated
05/10/2024
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