Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED WADE NICHOLS, D.O.
ActiveDR. JARED WADE NICHOLS, D.O. is a Electrodiagnostic Medicine healthcare provider located in JOPLIN, Missouri. NPI 1982018727 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · JOPLIN, MO
Registration Details
- NPI Number
- 1982018727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2014 (12.173516802372 yrs)
- Last Updated
- Jan 4, 2022
- Licenses
-
2016007756 (MO)2016007756 (MO)
Practice Information
- Address
-
2901 SAINT JOHNS BLVDJOPLIN, MO, 648041598Browse MO providers · Browse ZIP 64804
- Phone
- 4172080733
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Electrodiagnostic Medicine
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.