Individual
JEANINE LOUISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
404 SPRING ST, DEL RIO, TX 78840
(832) 600-9703
Mailing address
2115 TWIN OAKS BLVD, KEMAH, TX 77565-2152
(832) 600-9703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
822385
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP122211
TX
367500000X
Certified Registered Nurse Anesthetist
RNA213027
ME
Other
Enumeration date
04/26/2011
Last updated
08/05/2025
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