Jennifer Nicholls, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN077765 Issued in GA

Practice address

1602 Drayton St
Savannah, GA 31401-7526

Phone

(912) 651-2116

Fax

(912) 651-6297

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1447653738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCRANTON CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017526",
            "telephone_number": "912-651-2116",
            "fax_number": "912-651-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "JENNIFER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN077765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Nguyen, RD,LD
• Y Tram Ngoc Nguyen
• NHW of Ga LLC
• Keith Edward Niager, L.C.S.W.
• Nicekare Inc
• Amy Deanna Nichols, RBT
• Brooke E Nichols, ATC
• Elise Marie Nichols, PT
• Emily Geer Nichols, CRNA
• Joanna May Nichols

• Licensed Practical Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.