Search › Wyoming › 1041C0700X
Jackson Nichols
NPI 1548130255 · on the registry since 2025 · sole proprietor
Practice
- Address
- 101 E Loucks St # 3014
Sheridan, WY 82801 - Phone
- (307) 752-3463
- Fax
- (307) 752-3463
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-07
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 Wyoming