Mr. Jourdan Clive Nicholls
DPM | Podiatrist
7103 W Grandridge Blvd, Suite F, Kennewick
Washington, 99336-6713
509-582-2057 509-374-4945
Maps & DirectionsMr. Jourdan Clive Nicholls is a Kennewick, Washington based podiatrist who is specialized in Podiatry. Active license number of Mr. Jourdan Clive Nicholls for Podiatry is PO549 in Washington.
Mr. Jourdan Clive Nicholls is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Jourdan Clive Nicholls speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Gender: | Male |
| Practice Address: | 7103 W Grandridge Blvd, Suite F, Kennewick, Washington, 99336-6713 |
| Phone: | 509-582-2057 |
| Fax: | 509-374-4945 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1578601720 |
| NPI Enumeration Date: | 01 Feb, 2007 |
| NPI Last Update On: | 30 Jul, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jourdan Clive Nicholls are as mentioned below.
| License Number | Specialization | State | Status | |
| PO549 | Podiatry | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jourdan Clive Nicholls such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 89978401 | Other | Washington | LABOR & INDUST |
| 1101377 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7103 W Grandridge Blvd, Suite F Kennewick, Washington |
| Zip: | 99336-6713 |
| Phone Number: | 509-582-2057 |
| Fax Number: | 509-374-4945 |
Patients can reach Mr. Jourdan Clive Nicholls at
7103 W Grandridge Blvd, Suite F, Kennewick, Washington or can
call to book an appointment on 509-582-2057.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.