Sandra Walker Nichols
SOUTHEASTERN EMERGENCY SERVICES P C


Address: 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Phone: 8709361000

Sandra Walker Nichols (NPI# 1770749202, PAC ID# 0547304412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1770749202
PAC ID by PECOS 0547304412
Professional Enrollment ID I20170225000104
Full Name Sandra Walker Nichols
Organization Legal Name SOUTHEASTERN EMERGENCY SERVICES P C
Address 4800 E Johnson Ave
Jonesboro
AR 72401-8413
Phone Number 8709361000
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6204730195
Number of Group Practice Members 51
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
341305 DLP SWAIN COUNTY HOSPITAL LLC

Other Locations

Address Phone Organization
45 Plateau St, Bryson City, NC 28713-4200 8284882155 SWAIN INTEGRATED SERVICES, PC
4800 E Johnson Ave, Jonesboro, AR 72401-8413 8709361000 SOUTHEASTERN EMERGENCY SERVICES P C

Organization Information

Organization Legal Name SOUTHEASTERN EMERGENCY SERVICES P C
Physicians 46

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Katherine Louise Nauert Nurse Practitioner Southeastern Emergency Services P C 4305 New Shepherdsville, Bardstown, KY 40004-9019
Donna S Sandlin Nurse Practitioner Southeastern Emergency Services P C 210 Marie Langdon Dr, Manchester, KY 40962-6388
Julie A Poore Nurse Practitioner Southeastern Emergency Services P C 1 Trillium Way, Corbin, KY 40701-8420
Crystal L Mitchell Nurse Practitioner Southeastern Emergency Services P C 2501 Kentucky Ave, Paducah, KY 42003-3813
Brian H Gaskins Nurse Practitioner Southeastern Emergency Services P C 305 Langdon St, Somerset, KY 42503-2750
Brent Rush Nurse Practitioner Southeastern Emergency Services P C 2710 S Rife Medical Ln, Rogers, AR 72758-1452
Edith C Hensley Nurse Practitioner Southeastern Emergency Services P C 150 N Eagle Creek Dr, Lexington, KY 40509-1805
Timothy M Pruitt Nurse Practitioner Southeastern Emergency Services P C 2100 N 7th St, West Memphis, AR 72301-2017

Office Location

Street Address 4800 E JOHNSON AVE
City JONESBORO
State AR
Zip 72401-8413

Physicians in the same location

Name Specialty Organization Address
Martin A Vaughn Certified Registered Nurse Anesthetist (crna) Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413
Jarryd A Dempsey Physical Therapy Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Ernest James Mcclinton Iii Emergency Medicine Southeastern Emergency Physicians LLC 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Michael E Davison Certified Registered Nurse Anesthetist (crna) Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413
Oksana Redko Anesthesiology Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413
Laura A Ferguson Certified Registered Nurse Anesthetist (crna) Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413
Justin K Martin Occupational Therapy Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Christopher M Bruno Diagnostic Radiology Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Daniel A Craven Jr. Diagnostic Radiology Mid South Imaging and Therapeutics Pa 4800 E Johnson Ave, Jonesboro, AR 72401-8413
Jacob Jones Physical Therapy Northeast Arkansas Clinic Charitable Foundation, Inc. 4800 E Johnson Ave, Jonesboro, AR 72401-8413
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Physicians in the same zip code

Name Specialty Organization Address
Lawrence W Gordon Ophthalmology Mid South Retina Associates, LLC 820 E Matthews, E, Jonesboro, AR 72401
Carl J Abraham Jr. Infectious Disease Doctors Health Group, Inc 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808
Brookshield Laurent Family Medicine Doctors Health Group, Inc 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808
Joy C Skaug Emergency Medicine Doctors Health Group, Inc 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808
Megan L Moll Optometry Hilltop Eyecare Pllc 3705 E Johnson Ave, Jonesboro, AR 72401-1858
Jacob P Moll Optometry Hilltop Eyecare Pllc 3705 E Johnson Ave, Jonesboro, AR 72401-1858
Cristina L Shaw Clinical Social Worker St Bernards Hospital Inc 2712 E Johnson, Jonesboro, AR 72401-1874
Karen J Reinertsen Psychiatry St. Bernards Hospital Inc 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874
Eloise E Weeks Psychiatry St. Bernards Hospital Inc 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874
Lillian Somner Psychiatry St. Bernards Hospital Inc 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874
Find all physicians in zip 72401

Competitor

Search similar physicians

City JONESBORO
Zip Code 72401
Specialty NURSE PRACTITIONER
City + Specialty JONESBORO + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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