Individual
ROSE MARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
1400 N DIVISION ST, BLYTHEVILLE, AR 72315-1438
(870) 776-1054
Mailing address
1110 W WALNUT ST, BLYTHEVILLE, AR 72315-3256
(870) 740-8612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006223
AR
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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