Individual
JUSTIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
600 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 421-7608
(816) 421-6493
Mailing address
600 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 421-7608
(816) 421-6493
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2013025569
MO
163WE0003X
Emergency Registered Nurse
2013025569
MO
Other
Enumeration date
11/17/2017
Last updated
05/18/2023
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