Individual provider · Type 1 NPI

Kimberly K. Nichols, CRNP PHD

Family Nurse Practitioner · Dothan, AL

NPI number 1295547511 Active

Practice location

2431 W Main St Ste 1001
Dothan, AL 36301-6404

Call (334) 677-6220 Map

Fax (334) 677-2206

Mailing address

101 Glendevon Ln
Dothan, AL 36305-6933

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-029355 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1295547511

Kimberly K. Nichols, CRNP PHD's National Provider Identifier is 1295547511, issued on Jan 23, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dothan, AL. The record was last updated on Jan 23, 2025.