Individual provider · Type 1 NPI

Tara Lynn Nichols, CNP

Nurse Practitioner · Canton, OH

NPI number 1205364007 Active

Practice location

2600 6th St SW
Canton, OH 44710-1702

Mailing address

2600 6th St SW Ste A2-800
Canton, OH 44710-1702

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X365623 (OH)
Nurse Practitioner Primary 363L00000XAPRN.CNP.020528 (OH)

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 1205364007

Tara Lynn Nichols, CNP's National Provider Identifier is 1205364007, issued on May 24, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, OH. The record was last updated on Nov 23, 2022.