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Nichole Irene Taylor
Gerontology Nurse Practitioner in Lucasville, Ohio
NPI 1164155503

Nichole Irene Taylor is a Gerontology Nurse Practitioner based in Lucasville, OH and is specialized in Gerontology. Nichole Irene Taylor practices in Lucasville, OH. The NPI Number for Nichole Irene Taylor is 1164155503 and holds a License No. 2022008116 (Ohio).

The current practice location address for Nichole Irene Taylor is 128 Overlook Dr, Lucasville, OH and can be reached out via phone at 606-922-9527.

Location: 128 Overlook Dr, Lucasville, OH, 45648-9002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164155503
Provider Name
Nichole Irene Taylor
Credential
Provider Entity Type
Individual
Gender
Female
Address
128 Overlook Dr, Lucasville, OH, 45648-9002
Phone Number
606-922-9527
Fax Number
Provider Enumeration Date
07/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
128 Overlook Dr
City
Lucasville
State
Ohio
Zip
45648-9002
Phone Number
606-922-9527
Fax Number
person
Provider Business Mailing Address Details
Address
128 Overlook Dr
City
Lucasville
State
Ohio
Zip
45648-9002
Phone Number
606-922-9527
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2022008116 (Ohio)
Definition
Definition to come...
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