Kelsey Nichols, FNP-BC
Nurse Practitioner, Family in Fort Worth, TX. Individual provider (NPI-1).
NPI number1760057723
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1760057723
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Nichols
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2021
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1033753 | TX | Yes |
Practice location
4545 Bellaire Dr S Ste 9Fort Worth, TX 76109-1811
Phone 817-763-8300
Mailing address
4545 Bellaire Dr S Ste 9Fort Worth, TX 76109-1811
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