Individual
JUDY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR, SUITE 300, COLUMBIA, SC 29203-8005
(803) 256-6511
(803) 744-4731
Mailing address
8 RICHLAND MEDICAL PARK DR, SUITE 300, COLUMBIA, SC 29203-8005
(803) 256-6511
(803) 744-4731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29120
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1104
—
SC
Enumeration date
03/14/2007
Last updated
01/27/2011
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