Individual provider · Type 1 NPI

Rachael Lynn Nicholson, FNP

Nurse Practitioner · Farmington, MO

NPI number 1730952821 Active

Practice location

534 Maple Valley Dr
Farmington, MO 63640-1981

Call (573) 760-8253 Map

Fax (314) 996-4500

Mailing address

3220 Worley Rd
Farmington, MO 63640-3589

Other practice locations

715 Maple Valley Dr, Farmington, MO 63640-1944 · (573) 756-5298

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2023044095 (MO)
Family Nurse Practitioner	363LF0000X	2023044095 (MO)

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 1730952821

Rachael Lynn Nicholson, FNP's National Provider Identifier is 1730952821, issued on Nov 1, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Jun 24, 2026.