Individual provider · Type 1 NPI

Courtney R. Nichols, NP-C

Family Nurse Practitioner · Kirksville, MO

NPI number 1235645151 Active

Practice location

1611 S Baltimore St Ste A
Kirksville, MO 63501-4519

Fax (660) 665-7576

Mailing address

PO Box 1239
Hannibal, MO 63401-1239

Other practice locations

  • 29934 July Rd, La Plata, MO 63549-3129 · (660) 332-7676

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2007025283 (MO)
Family Nurse Practitioner Primary 363LF0000X2017042162 (MO)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1235645151

Courtney R. Nichols, NP-C's National Provider Identifier is 1235645151, issued on Dec 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kirksville, MO. The record was last updated on Mar 17, 2018.