Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mallory Brooke Nichols, FNP-C, CRNP

Individual provider Family Nurse Practitioner · NPI 1932859774

Mrs. Mallory Brooke Nichols, FNP-C, CRNP is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2021, 5 years ago. Practices with First Care, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

809 University Blvd E
Tuscaloosa, AL 35401-2071
Phone: (205) 759-7111
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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 1-144817 (AL)

Record details

NPI number1932859774
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , CRNP
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice First Care, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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