NPI 1083259519

Judy Lynn Nichols, NEMT

Practitioner Driver Jacksonville, AR

Practice location

Address: 2311 W Maddox Rd, Jacksonville, AR 72076-8771
Phone: (925) 695-6038

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in Arkansas →

Driver

Other Service Providers Taxonomy 172A00000X Licence 29160381 (TX)

Registry record

NPI: 1083259519
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2019
Record last updated: 7 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.