Nichols, Chantal Marie

Nichols, Chantal Marie is an individual health care provider with primary practice located at 630 N Main St , Williston FL 32696-1705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nichols, Chantal Marie can be contacted via phone (352) 528-0587.

Contact Information

Primary practice address
630 N Main St Williston FL 32696-1705
Phone: (352) 528-0587
Fax: (352) 528-4834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APRN11005897 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11005897 Florida

Profile Details

NPI number 1437780764
LBN Legal business name Nichols, Chantal Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Feb 19th, 2020 - about 4 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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