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JACQUELINE RENEE NICHOLS
NPI 1003665597
Technician/Technologist in Port Huron, MI

Active since May 16, 2024
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Renee Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE RENEE NICHOLS (NPI 1003665597) is an individual technician/technologist in Port Huron, Michigan and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1003665597
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameJACQUELINE RENEE NICHOLS
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address512 Quay StPort Huron, MI 48060-3832
Phone(810) 985-8900
Sole ProprietorNo
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1003665597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
3111 ELECTRIC AVE, Port Huron, MI 48060
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
BRIAN FANION LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739
LISA M AZAR
Technician (Personal Care Attendant)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1003665597. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Jacqueline Nichols located?

Jacqueline Nichols practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Nichols was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.