Jourdan Nichols
Jourdan Nichols is an Early Intervention Provider Agency in Fulton, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
2 Hornet DrFulton, MO 65251-2732
Phone: (573) 590-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 2015001098 (MO) |
|---|
Record details
| NPI number | 1154715316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2015 |
| Last updated in NPPES | March 26, 2015 |
| Mailing address | 2 Hornet Dr, Fulton, MO 65251-2732 |