Individual
ERICKA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202
(502) 629-6565
Mailing address
1212 BLACKTHORN RD, LOUISVILLE, KY 40299-4687
(502) 420-8195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009703
KY
Other
Enumeration date
12/26/2015
Last updated
01/20/2021
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