Nichols, Kristy Leigh

Nichols, Kristy Leigh is an individual health care provider with primary practice located at 301 Medical Ave Ste C , Andalusia AL 36420-1105. 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, Kristy Leigh can be contacted via phone (334) 222-2073.

Contact Information

Primary practice address
301 Medical Ave Ste C Andalusia AL 36420-1105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-073811 Alabama

Profile Details

NPI number 1891945614
LBN Legal business name Nichols, Kristy Leigh
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Sep 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891945614 NPPES
Alabama MEDICAID 237989
Alabama Other 510-09630

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