Lacy Jo Nichols
Lacy Jo Nichols is a Neonatal Nurse Practitioner in Quincy, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
927 Broadway StQuincy, IL 62301-2719
Phone: (217) 224-6423
Fax: (217) 223-9370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neonatal Nurse Practitioner (primary) | Taxonomy 363LN0000X · Licence 209028825 (IL) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 041369541 (IL) |
Record details
| NPI number | 1083361430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2022 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |