Mrs Jana Renee Nichols, OTR /L is a
Occupational Therapist based in Prairie Grove, Arkansas. Mrs Jana Renee Nichols is licensed to practice in Arkansas (license number OTR542) and her current practice location is
11327 Gibb Whitmire Rd, Prairie Grove, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 422-2876.
NPI number for Mrs Jana Renee Nichols is 1518970250 and her current mailing address is 11327 Gibb Whitmire Rd, Prairie Grove, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518970250.
Healthcare Provider's Profile
Full Name | Mrs Jana Renee Nichols |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 11327 Gibb Whitmire Rd, Prairie Grove, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518970250
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 04/15/2009
Medical Identifiers
Medical identifiers for Mrs Jana Renee Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518970250 | NPI | - | NPPES |
130801721 | Medicaid | AR | |
5T561 | Other | AR | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OTR542 (Arkansas) | 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 Jana Renee Nichols 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 Jana Renee Nichols, OTR /L 11327 Gibb Whitmire Rd, Prairie Grove, AR 72753-8107 Ph: (479) 422-2876 | Mrs Jana Renee Nichols, OTR /L 11327 Gibb Whitmire Rd, Prairie Grove, AR 72753-8107 Ph: (479) 422-2876 |
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