Individual
JEANETTE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1585 3RD ST BLDG 285, FORT POLK, LA 71459-5102
(726) 780-2486
(726) 780-2415
Mailing address
30 MILLER RD, BOYCE, LA 71409-9838
(318) 471-8983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10133
LA
Other
Enumeration date
08/14/2018
Last updated
11/17/2025
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