Individual
EMMA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 S COOPER ST APT 202, MEMPHIS, TN 38104-5669
(501) 765-1828
Mailing address
954 BERGEN ST, BROOKLYN, NY 11216-4869
(501) 765-1828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032522
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
01/28/2026
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