Individual provider · Type 1 NPI

Nicole K. Nichols, ANP

Nurse Practitioner · St. Louis, MO

NPI number 1962836551 Active

Practice location

10012 Kennerly Rd, Suite 101
St. Louis, MO 63128-2197

Call (314) 543-5200 Map

Fax (314) 543-5219

Mailing address

PO Box 23340
St. Louis, MO 63156-3340

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2013036540 (MO)
Registered Nurse 163W00000X2010021406 (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 1962836551

Nicole K. Nichols, ANP's National Provider Identifier is 1962836551, issued on Aug 30, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 24, 2016.