Mrs Amy N Nicholas, LPN/BHT is a
Behavior Technician based in Meridian, Mississippi. Mrs Amy N Nicholas is licensed to practice in * (Not Available) (license number ) and her current practice location is
1801 Fuller Rd, Meridian, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 679-2240.
NPI number for Mrs Amy N Nicholas is 1093656613 and her current mailing address is 1801 Fuller Rd, Meridian, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093656613.
Provider's Profile
| Full Name | Mrs Amy N Nicholas |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1801 Fuller Rd, Meridian, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093656613
- Provider Enumeration Date: 04/06/2026
- Last Update Date: 04/06/2026
Medical Identifiers
Medical identifiers for Mrs Amy N Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093656613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P316082 (Mississippi) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amy N Nicholas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Amy N Nicholas, LPN/BHT
1801 Fuller Rd,
Meridian, MS 39309-5106
Ph: (601) 679-2240 | Mrs Amy N Nicholas, LPN/BHT
1801 Fuller Rd,
Meridian, MS 39309-5106
Ph: (601) 679-2240 |
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