Individual
JENNIFER LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8059 SPYGLASS HILL RD STE 102, VIERA, FL 32940-8566
(321) 752-0111
(321) 752-0140
Mailing address
7300 SW 62ND PL FL 4, SOUTH MIAMI, FL 33143-4800
(321) 752-0111
(321) 752-0140
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS014387
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
OS18799
FL
Other
Enumeration date
05/24/2007
Last updated
10/20/2022
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