Nichols, Judith Lynn

Nichols, Judith Lynn is an individual health care provider with primary practice located at 105 Mariner Way Ste 203, St Augustine FL 32086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nichols, Judith Lynn can be contacted via phone (904) 342-2989.

Contact Information

Primary practice address
105 Mariner Way Ste 203 St Augustine FL 32086
Fax: (904) 824-6243
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN978502 Florida

Profile Details

NPI number 1255311528
LBN Legal business name Nichols, Judith Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated May 4th, 2021 - about 3 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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