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Mr. Jourdan Clive Nicholls, DPM
Podiatrist in Kennewick, Washington
NPI 1578601720

Jourdan Clive Nicholls is a Podiatrist based in Kennewick, WA. Jourdan Clive Nicholls practices in Kennewick, WA and has the professional credentials of DPM. The NPI Number for Jourdan Clive Nicholls is 1578601720 and holds a License No. PO549 (Washington).

The current practice location address for Jourdan Clive Nicholls is 7103 W Grandridge Blvd, Kennewick, WA and can be reached out via phone at 509-582-2057 and via fax at 509-374-4945. You can also correspond with Jourdan Clive Nicholls through the mailing address at 7103 W GRANDRIDGE BLVD, KENNEWICK, WA - 99336-6713 (mailing address contact number: 509-582-2057).

Location: 7103 W Grandridge Blvd, Kennewick, WA, 99336-6713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578601720
Provider Name
Jourdan Clive Nicholls
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7103 W Grandridge Blvd, Kennewick, WA, 99336-6713
Phone Number
509-582-2057
Fax Number
509-374-4945
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89978401 01 WA LABOR & INDUST
1101377 05 WA
institution
Provider Business Practice Location Address Details
Address
7103 W Grandridge Blvd
City
Kennewick
State
Washington
Zip
99336-6713
Phone Number
509-582-2057
Fax Number
509-374-4945
person
Provider Business Mailing Address Details
Address
7103 W Grandridge Blvd
City
Kennewick
State
Washington
Zip
99336-6713
Phone Number
509-582-2057
Fax Number
509-374-4945
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO549 (Washington)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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