Individual provider · Type 1 NPI
Nicole Poythress Waters, DO, PhD
Family Medicine Physician · Carrier Mills, IL
Practice location
7211 US 45 S
Carrier Mills, IL 62917-1305
Fax (618) 294-8247
Mailing address
PO Box 155
Christopher, IL 62822-0155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | 036157809 (IL) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 other providers at this address
- Christopher Greater Area Rural Health Planning CorporationFederally Qualified Health Center (FQHC) Carrier Mills, IL NPI 1548994817
- Jennifer Elaine Price, PA-CPhysician Assistant Carrier Mills, IL NPI 1538124284
- Katrina L. Tripp, PACPhysician Assistant Carrier Mills, IL NPI 1578814414
- Nathan Kyle Heady, PA-CPhysician Assistant Carrier Mills, IL NPI 1861901530
About NPI 1407416308
Nicole Poythress Waters, DO, PhD's National Provider Identifier is 1407416308, issued on Jun 13, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Carrier Mills, IL. The record was last updated on Feb 6, 2026.