Individual
JOYCE FRANCES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
126160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425444015
—
MO
01
—
P00203797
RAILROAD MEDICARE ID #
MO
Enumeration date
04/14/2006
Last updated
03/25/2019
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