Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel James Nicholls

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073249173

Daniel James Nicholls is a Student in an Organized Health Care Education/Training Program in Saint Johns, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

842 S Lilac Loop
Saint Johns, FL 32259-1919
Phone: (727) 348-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073249173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address842 S Lilac Loop, Saint Johns, FL 32259-1919

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