Individual
MRS. JANA RENEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR /L
Contact information
Practice address
11327 GIBB WHITMIRE RD, PRAIRIE GROVE, AR 72753-8107
(479) 422-2876
(479) 846-5347
Mailing address
11327 GIBB WHITMIRE RD, PRAIRIE GROVE, AR 72753-8107
(479) 422-2876
(479) 846-5347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130801721
—
AR
01
—
5T561
BCBS
AR
Enumeration date
08/14/2006
Last updated
04/15/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us