Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JUDY R MACNICHOLS, P.A.-C
ActiveMRS. JUDY R MACNICHOLS, P.A.-C is a Medical Physician Assistant healthcare provider located in DELAND, Florida. NPI 1407858004 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DELAND, FL
Registration Details
- NPI Number
- 1407858004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2005 (20.966070151134 yrs)
- Last Updated
- Feb 19, 2014
- Licenses
-
PA3264 (FL)PA3264 (FL)
Practice Information
- Address
-
1070 N. STONE STREETSUITE ADELAND, FL, 32720Browse FL providers · Browse ZIP 32720
- Phone
- 3869437100
- Fax
- 3867388909
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in DELAND, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN F BAXLEY | PA-C | 1336146380 |
| TINA SUE-MARIE ROBERTS-SMITH | MPAS,PA-C | 1235186578 |
| JAMES WILLIAM FITCH | PA-C | 1912913633 |
| DENNIS C KEE | PA-C | 1053420182 |
| ALICIA BROWN | — | 1639254980 |
| ELISABETH ANN GILLIARD | MMS, PA-C | 1609075423 |
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.