Tammy R Nichols, NURSE PRACTITIONER
NPI #1730900663 in Macks Creek, Missouri
Provider Information
- NPI Number
- 1730900663
- Entity Type
- Individual
- Name
- Tammy R Nichols, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 23, 2024
- Last Updated
- Nov 9, 2024
Practice Location
- Address
- 2179 STATE HIGHWAY 73
- City
- Macks Creek
- State
- Missouri
- ZIP Code
- 65786-8228
- Phone
- (660) 428-5020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
| Nurse Practitioner - Family — Family |
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