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

Nicole L Nichols, PMHNP-BC

Individual provider Registered Nurse · NPI 1750706826

Nicole L Nichols, PMHNP-BC is a Nurse Practitioner in Clarkston, Michigan. Qualified in 2022, 4 years ago. Practices with Downriver Mental Health Clinic PC, a 288-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lifestance Health 7300 Dixie Hwy
Clarkston, MI 48346
Phone: (248) 922-2300
Fax: (248) 922-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704296871 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704296871 (MI)

Record details

NPI number1750706826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 26, 2014
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Downriver Mental Health Clinic Pc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clarkston