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Nichole Lee Nichols

Case Manager/Care Coordinator in Wagoner, OK. Individual provider (NPI-1).

NPI number1023947660
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1023947660
Entity type
Individual (NPI-1)
Name
Nichole Lee Nichols
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2026
Certification date
May 18, 2026
Last updated
May 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–OKYes

Practice location

1200 W Cherokee St
Wagoner, OK 74467-4624

Phone 918-485-5514

Mailing address

1200 W Cherokee St
Wagoner, OK 74467-4624

Phone 918-485-5514

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