Mr. Jourdan Clive Nicholls is a Kennewick, Washington based male 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:
Podiatrist
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.