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Contact Information

JERILYNN NICHOLS, MS, PHARMD, CGC
4820 S CLARK ST
MEXICO, MO65265-4111
 Phone: 573-239-5715
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for JERILYNN NICHOLS · (Female)

NPI # 1740311786
Status Active
Credentials MS, PHARMD, CGC
Entity Individual
Enumeration date 03/09/2007
Last updated 01/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015023146
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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