Tammy R Nichols, NURSEPRACTITIONER
Tammy R Nichols, NURSEPRACTITIONER is a General Practice Registered Nurse in Macks Creek, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2179 State Highway 73Macks Creek, MO 65786-8228
Phone: (660) 428-5020
Show map & directions
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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 2024041853 (MO) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 2024041853 (MO) |
Record details
| NPI number | 1730900663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2024 |
| Last updated in NPPES | November 9, 2024 |
| Certification date | November 9, 2024 |