Individual provider · Type 1 NPI

Jeanette Nichols, FNP-C

Family Nurse Practitioner · Fort Polk, LA

NPI number 1437639952 Active

Practice location

1585 3rd St Bldg 285
Fort Polk, LA 71459-5102

Fax (726) 780-2415

Mailing address

30 Miller Rd
Boyce, LA 71409-9838

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP10133 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1437639952

Jeanette Nichols, FNP-C's National Provider Identifier is 1437639952, issued on Aug 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Polk, LA. The record was last updated on Nov 17, 2025.