Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deborah J Nichols, C-NP

Individual provider Adult Health Nurse Practitioner · NPI 1417394941

Deborah J Nichols, C-NP is a Nurse Practitioner in Youngstown, Ohio. Qualified in 2013, 13 years ago. Practices with Triad Health Services LLC, a 253-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
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Practice location Address checks out

925 Trailwood Dr
Youngstown, OH 44512-5008
Phone: (330) 758-7575
Fax: (330) 758-1833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence COA.14412-NP (OH)

Record details

NPI number1417394941
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-NP
Sole proprietorYes
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 23, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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