Nicholas, Trisha Jo

Nicholas, Trisha Jo is an individual health care provider with primary practice located at 1615 Mlk Blvd , Malvern AR 72104-2233. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Nicholas, Trisha Jo can be contacted via phone (501) 332-5236.

Contact Information

Primary practice address
1615 Mlk Blvd Malvern AR 72104-2233
Phone: (501) 332-5236
Fax: (501) 620-5109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R73728 Arkansas

Profile Details

NPI number 1700109816
LBN Legal business name Nicholas, Trisha Jo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Mar 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700109816 NPPES
Arkansas MEDICAID 116399726

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