Individual provider · Type 1 NPI
Tammy R. Nichols, NURSE PRACTITIONER
Family Nurse Practitioner · Macks Creek, MO
NPI number
1730900663
Active
Practice location
2179 State Highway 73
Macks Creek, MO 65786-8228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 2024041853 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 2024041853 (MO) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Macks Creek
About NPI 1730900663
Tammy R. Nichols, NURSE PRACTITIONER's National Provider Identifier is 1730900663, issued on Oct 23, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Macks Creek, MO. The record was last updated on Nov 9, 2024.