Chantal Marie Nichols, NP

NPI #1437780764 in Williston, Florida

Provider Information

NPI Number
1437780764
Entity Type
Individual
Name
Chantal Marie Nichols, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Jan 27, 2020
Last Updated
Feb 19, 2020

Practice Location

Address
630 N MAIN ST
State
Florida
ZIP Code
32696-1705
Phone
(352) 528-0587

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily

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