Individual provider · Type 1 NPI

Timothy Laine Nicol, PA-C

Physician Assistant · Ozark, MO

NPI number 1881407914 Active

Practice location

3050 E River Bluff Blvd
Ozark, MO 65721-8807

Mailing address

425 E Harrison St
Republic, MO 65738-1350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2025004726 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881407914

Timothy Laine Nicol, PA-C's National Provider Identifier is 1881407914, issued on Jan 31, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ozark, MO. The record was last updated on Apr 22, 2025.