Individual
DEBORAH NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4252 WOODBINE RD, PACE, FL 32571-8703
(850) 994-2733
(850) 994-9987
Mailing address
4252 WOODBINE RD, PACE, FL 32571-8703
(850) 994-2733
(850) 994-9987
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP 9230907
FL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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