Individual
NICHOLAS L PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
22A DOCTORS DR, OCEAN SPRINGS, MS 39564-5721
(228) 872-1951
(228) 875-9998
Mailing address
22A DOCTORS DR, OCEAN SPRINGS, MS 39564-5721
(228) 872-1951
(228) 875-9998
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
100221
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
R874532
MS
363LA2200X
Adult Health Nurse Practitioner
R874532
MS
363LF0000X
Family Nurse Practitioner
100221
WI
363LF0000X
Family Nurse Practitioner
R874532
MS
363LG0600X
Gerontology Nurse Practitioner
100221
WI
363LG0600X
Gerontology Nurse Practitioner
R874532
MS
Other
Enumeration date
07/28/2015
Last updated
01/09/2023
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