Individual
JORDAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1105 FORT CLARKE BLVD, GAINESVILLE, FL 32606-7140
(904) 576-0127
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
04/10/2025
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