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

Kelly Ann Nichols, NP

Individual provider Registered Nurse · NPI 1245889005

Kelly Ann Nichols, NP is a Registered Nurse in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2019.

Licensed in
IL, MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5000
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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 2019038073 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 041459011 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2005023391 (MO)

Record details

NPI number1245889005
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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