person
Kenny L Nicholson, MSN,APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Anderson, South Carolina
NPI 1215626213

Kenny L Nicholson is a Psychiatric/Mental Health Nurse Practitioner based in Seneca, SC and is specialized in Psychiatric/Mental Health. Kenny L Nicholson practices in Anderson, SC and has the professional credentials of MSN,APRN,PMHNP-BC. The NPI Number for Kenny L Nicholson is 1215626213 and holds a License No. 27318 (South Carolina).

The current practice location address for Kenny L Nicholson is 125 Muddy Toes Dr, Anderson, SC and can be reached out via phone at 864-353-3384 and via fax at 864-222-9715. You can also correspond with Kenny L Nicholson through the mailing address at 113 SHADOWOOD CT, SENECA, SC - 29678-1275 (mailing address contact number: 864-985-3915).

Location: 125 Muddy Toes Dr, Anderson, SC, 29678-1275
person
Provider Profile Details
NPI Number
1215626213
Provider Name
Kenny L Nicholson
Credential
MSN,APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
125 Muddy Toes Dr, Anderson, SC, 29678-1275
Phone Number
864-353-3384
Fax Number
864-222-9715
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Muddy Toes Dr
City
State
Zip
29626-5349
Phone Number
864-353-3384
Fax Number
864-222-9715
person
Provider Business Mailing Address Details
Address
125 Muddy Toes Dr
City
State
Zip
29626-5349
Phone Number
864-353-3384
Fax Number
864-222-9715
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
27318 (South Carolina)
Definition
Definition to come...
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