Individual
STEPHANIE R NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1109 W CLAY RD, VERSAILLES, MO 65084-1177
(573) 378-2351
(660) 826-1300
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020040319
MO
Other
Enumeration date
10/21/2020
Last updated
03/30/2026
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