MR. JACKSON TATE NICHOLS
NPI 1548130255
Social Worker - Clinical in Sheridan, WY
About Mr. Jackson Tate Nichols NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACKSON TATE NICHOLS (NPI 1548130255) is an individual clinical provider in Sheridan, Wyoming, licensed in Wyoming (PCSW-1274) and active in the NPI registry since November 2025.
NPPES Registry Identity
Specialties & Licenses
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 Jackson Nichols's NPI number?
The NPI number for Jackson Nichols is 1548130255. It was assigned to this individual provider in the NPPES registry on November 7, 2025.
Where is Jackson Nichols located?
Jackson Nichols practices at 101 E Loucks St # 3014, Sheridan, WY 82801. The listed phone number is (307) 752-3463.
What is Jackson Nichols's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Jackson Nichols was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.