Individual provider · Type 1 NPI

Jenna Nichols

Nurse Practitioner · Auburn, IN

NPI number 1558042820 Active

Practice location

1306 E 7th St Ste A
Auburn, IN 46706-2537

Fax (260) 925-1256

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X28248429A (IN)
Nurse Practitioner Primary 363L00000X71014206A (IN)

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 1558042820

Jenna Nichols's National Provider Identifier is 1558042820, issued on Jul 28, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Auburn, IN. The record was last updated on Nov 2, 2023.