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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699417170

Dr. Charissa Nichols, MD is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 456-5537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 230 E Ridgewood Ave, Paramus, NJ 07652-4142 — (201) 967-4000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 1699417170 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699417170
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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