Jerry Ray Nichols
Jerry Ray Nichols is a Peer Specialist in Claremore, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1402 N Florence Ave Ste BClaremore, OK 74017-3159
Phone: (918) 608-0380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1669043386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2021 |
| Last updated in NPPES | July 3, 2021 |
| Certification date | July 3, 2021 |
| Mailing address | 8056 Quail Ridge Rd, Claremore, OK 74019-7504 |
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