| Jennifer Nichols, APRN | |
|
410 4th St Ste J, Alva, OK 73717-2363 | |
| (580) 430-3333 | |
| (580) 430-3375 |
| Full Name | Jennifer Nichols |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 410 4th St Ste J, Alva, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487031159 | NPI | - | NPPES |
| 200589510A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 90378 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 90378 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Share Medical Center | Alva, OK | Hospital |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alva Hospital Authority | 5597755306 | 17 |
| Entity Name | Alva Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684682 PECOS PAC ID: 5597755306 Enrollment ID: O20040514000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nichols, APRN Po Box 727, Alva, OK 73717-0727 Ph: (580) 430-3333 | Jennifer Nichols, APRN 410 4th St Ste J, Alva, OK 73717-2363 Ph: (580) 430-3333 |
Mr. Jeremy D Logsdon, CNP- FAMILY Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 604 Choctaw St, Alva, OK 73717 Phone: 580-327-1118 Fax: 580-327-3067 | |
Bryan Nutter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Share Dr, Alva, OK 73717 Phone: 580-327-2800 | |
Mrs. Gwyneth Leigh Holderby, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Share Dr, Alva, OK 73717 Phone: 580-327-2800 |