Individual provider · Type 1 NPI
Jacqueline M. Nichols
Nurse Practitioner · Lombard, IL
Practice location
130 S Main St # 1
Lombard, IL 60148-2670
Mailing address
506 E Highland Ave
Mount Prospect, IL 60056-2138
Other practice locations
- 303 W Lake St # 1, Addison, IL 60101-2586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209024109 (IL) |
| Family Nurse Practitioner | 363LF0000X | 209.024109 (IL) |
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 1821752494
Jacqueline M. Nichols's National Provider Identifier is 1821752494, issued on Oct 28, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lombard, IL. The record was last updated on May 4, 2026.