Individual
ASHLEY LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
507 JACOB ST, TIMPSON, TX 75975
(936) 254-3338
(936) 254-3339
Mailing address
PO BOX 847522, DALLAS, TX 75284-7522
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APP133508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371981702
—
TX
01
—
647220
MEDICARE
TX
01
—
P02028472
MEDICARE RAIL ROAD
TX
Enumeration date
03/06/2017
Last updated
06/18/2018
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