Jana Renee Nichols in Prairie Grove - Occupational Therapist
Jana Renee Nichols - NPI 1518970250
Jana Renee Nichols is a Occupational Therapist in Prairie Grove, Arkansas. Jana Renee Nichols practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jana Renee Nichols is 1518970250. The last update date is 2009-04-15.
Jana Renee Nichols's current location address is 11327 Gibb Whitmire Rd, Prairie Grove, Arkansas. You can contact this provider via phone number 4794222876 and fax number 4798465347. The mailing address for Jana Renee Nichols is 11327 Gibb Whitmire Rd, Prairie Grove, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jana Renee Nichols |
|---|---|
| Address | 11327 Gibb Whitmire Rd, Prairie Grove, Arkansas |
| Phone Number | 4794222876 |
| Fax Number | 4798465347 |
| Sole Proprietor | N |
| Credentials | OTR /L |
NPI Number Detail
| NPI Number | 1518970250 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2009-04-15 |
Provider Mailing Address Detail
| Address | 11327 Gibb Whitmire Rd |
|---|---|
| City | Prairie Grove |
| State | Arkansas (AR) |
| Post Code | 727538107 |
| Phone Number | 4794222876 |
| Fax Number | 4798465347 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OTR542 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130801721 | AR | -- | |
| 5T561 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jana Renee Nichols by the Centers for Medicare & Medicaid Services?
The Jana Renee Nichols has been assigned the NPI (National Provider Identifier) 1518970250 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jana Renee Nichols's facilities are situated?
The facilities of Jana Renee Nichols are physically located at the following address: 11327 Gibb Whitmire Rd, Prairie Grove, AR, 727538107.
What is the area of specialization for Jana Renee Nichols, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jana Renee Nichols is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Jana Renee Nichols receive the assignment of its 1518970250 from the Centers for Medicare & Medicaid Services?
The Jana Renee Nichols was issued its 1518970250 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date were the Jana Renee Nichols's details last updated?
The information pertaining to the Jana Renee Nichols, including its address, specialty, and other details, was most recently updated on 2009-04-15.
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