Individual provider · Type 1 NPI

Edward Clay Nichols, FNP

Family Nurse Practitioner · Winnsboro, LA

NPI number 1063745602 Active

Practice location

3326 Front St
Winnsboro, LA 71295-6487

Fax (318) 435-9061

Mailing address

2375 Highway 130
Winnsboro, LA 71295-7704

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPO5939 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1063745602

Edward Clay Nichols, FNP's National Provider Identifier is 1063745602, issued on Sep 15, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winnsboro, LA. The record was last updated on Sep 15, 2009.