person
Jodie Beth Nichols, DO
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1821791369

Jodie Beth Nichols is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Jodie Beth Nichols practices in Phoenix, AZ and has the professional credentials of DO. The NPI Number for Jodie Beth Nichols is 1821791369 and holds a License No. (Arizona).

The current practice location address for Jodie Beth Nichols is 1300 N 12Th St Ste 320, Phoenix, AZ and can be reached out via phone at 602-521-3050 and via fax at 602-521-3046.

Location: 1300 N 12Th St Ste 320, Phoenix, AZ, 85006-2858
person
Provider Profile Details
NPI Number
1821791369
Provider Name
Jodie Beth Nichols
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1300 N 12Th St Ste 320, Phoenix, AZ, 85006-2858
Phone Number
602-521-3050
Fax Number
602-521-3046
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N 12Th St Ste 320
City
State
Zip
85006-2858
Phone Number
602-521-3050
Fax Number
602-521-3046
person
Provider Business Mailing Address Details
Address
1300 N 12Th St Ste 320
City
State
Zip
85006-2858
Phone Number
602-521-3050
Fax Number
602-521-3046
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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