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

Dr. Shantrice Bernice Nichols-Bates, DNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1245603844

Dr. Shantrice Bernice Nichols-Bates, DNP, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Georgia, Mississippi and Oregon.

Years since qualifying
11
Licensed in
GA, MS, OR
In the registry since
2015
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

350 W Woodrow Wilson Ave Ste 1010
Jackson, MS 39213-7681
Phone: (769) 366-4719
Fax: (769) 366-4717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901369 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201508267NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence GAA-NP000049 (GA)

Record details

NPI number1245603844
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedNovember 4, 2015
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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