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Contact Information

JOHN NICHOLS, FNP
1000 HEALTH CENTER DR
MATTOON, IL61938
 Phone: 217-238-4325
 Fax: 217-238-4290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Hospitalist

208M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOHN NICHOLS · (Male)

NPI # 1437666294
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/02/2018
Last updated 03/11/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209015936
  • MO License # 2017028743
Hospital affiliation(s)
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
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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