Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOURDAN NICHOLS
Active Sole ProprietorJOURDAN NICHOLS is a Early Intervention Provider Agency healthcare provider located in FULTON, Missouri. NPI 1154715316 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · FULTON, MO
Registration Details
- NPI Number
- 1154715316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2015 (11.414773429656 yrs)
- Last Updated
- Mar 26, 2015
- License
-
2015001098 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 HORNET DRFULTON, MO, 652512732Browse MO providers · Browse ZIP 65251
- Phone
- 5735908000
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.