MS. JUDY LYNN NICHOLS (NPI# 1083259519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083259519 |
| Entity Type | Individual |
| Full Name | MS. JUDY LYNN NICHOLS |
| Credential | NEMT |
| Practice Address |
2311 W Maddox Rd Jacksonville AR 72076-8771 |
| Practice Telephone | 9256956038 |
| Mailing Telephone | 9256956038 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 29160381 | TX | Other Service Providers |
| Y | 172A00000X | Driver | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 965208 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710337142 | Judy Nichols | Social Worker | 2012 Long Beach Blvd, Surf City, NJ 08008-5551 | 2016-06-16 |
| 1366805954 | Judy Nichols | Occupational Therapy Assistant | 300 Overlook Dr, Piketon, OH 45661-9760 | 2016-03-31 |
| 1356633630 | Judy M. Nichols | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2011-05-05 |
| 1295915114 | Judy Learner Nichols | Audiologist | 450 N Main St, Sharon, MA 02067 | 2007-11-08 |
| 1750415790 | Judy Nichols | Nurse Practitioner | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2007-03-14 |
| Street Address |
2311 W MADDOX RD |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-8771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736398 | Meekins Senior Shuttle | Driver | 15599 Moss Hollow Dr, Jacksonville, FL 32218-6875 | 2020-10-01 |
| 1437768355 | Joselyn Hillmon | Driver | 201 New Bridge St Ste 107, Jacksonville, NC 28540-4736 | 2020-07-27 |
| 1295356616 | Latifah Latrelle Green | Driver | 8006 Jaguar Dr, Jacksonville, FL 32244-1357 | 2020-04-27 |
| 1720615255 | Yolanda R Camacho | Driver | 1125 Colombo St, Jacksonville, FL 32207-3013 | 2020-03-25 |
| 1932731015 | James Samuel Singleton V | Driver | 7706 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-02-06 |
| 1396376141 | Moses Moussa Simbi Sadi | Driver | 1183 Lila St Apt 2, Jacksonville, FL 32208-3579 | 2020-01-30 |
| 1477193357 | Alberte D Garcon | Driver | 9526 Argyle Forest Blvd # B2327, Jacksonville, FL 32222-2825 | 2020-01-08 |
| 1922657451 | Chandeep Sahni | Driver | 5428 Cleveland Rd, Jacksonville, FL 32209-2832 | 2019-09-07 |
| 1487218731 | Norrisa Spencer | Driver | 5247 Cleveland Rd # 1, Jacksonville, FL 32209-2834 | 2019-04-23 |
| 1255891255 | Batelhem Taylor | Driver | 7333 Haxter Falls Ct, Jacksonville, FL 32222-4116 | 2019-03-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on MS. JUDY LYNN NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.