Individual provider · Type 1 NPI

Judith Lynn Nichols, APRN

Nurse Practitioner · St. Augustine, FL

NPI number 1255311528 Active

Practice location

105 Mariner Way, Ste 203
St. Augustine, FL 32086

Fax (904) 824-6243

Mailing address

PO Box 3123
St. Augustine, FL 32085-3123

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN978502 (FL)

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 1255311528

Judith Lynn Nichols, APRN's National Provider Identifier is 1255311528, issued on Jan 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on May 4, 2021.