Individual provider · Type 1 NPI

Perry Duane Nichols, FNP

Nurse Practitioner · Shreveport, LA

NPI number 1073526141 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Fax (318) 424-6136

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN076397-AP03519 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073526141

Perry Duane Nichols, FNP's National Provider Identifier is 1073526141, issued on Aug 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.