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Jourdan Nichols
NPI 1154715316 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2 Hornet Dr
Fulton, MO 65251 - Phone
- (573) 590-8000
- Organisation at this address
- Board Of Education
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 252Y00000X
252Y00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri