Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOURDAN CLIVE NICHOLLS, DPM
ActiveMR. JOURDAN CLIVE NICHOLLS, DPM is a Podiatrist healthcare provider located in KENNEWICK, Washington. NPI 1578601720 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · KENNEWICK, WA
Registration Details
- NPI Number
- 1578601720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.505531268055 yrs)
- Last Updated
- Jul 30, 2013
- License
-
PO549 (WA)
Practice Information
- Address
-
7103 W GRANDRIDGE BLVDSUITE FKENNEWICK, WA, 993366713Browse WA providers · Browse ZIP 99336
- Phone
- 5095822057
- Fax
- 5093744945
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in KENNEWICK, WA
| Name | Credential | NPI |
|---|---|---|
| MR. TRAVIS S CARTER | DPM | 1134288533 |
| DERRICK J MCKAY | DPM | 1821352139 |
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.