Nichols, Judy
Nichols, Judy is an individual health care provider with primary practice located at 8 Richland Medical Park Dr Suite 300, Columbia SC 29203-8005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Nichols, Judy can be contacted via phone (803) 256-6511.Contact Information
Primary practice address
8 Richland Medical Park Dr Suite 300
Columbia SC 29203-8005
Phone: (803) 256-6511
Fax: (803) 744-4731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 29120 | South Carolina |
Profile Details
| NPI number | 1750415790 |
|---|---|
| LBN Legal business name | Nichols, Judy |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jan 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750415790 | NPPES |
| South Carolina | MEDICAID | NP1104 |
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