Provider Demographics
NPI:1215120266
Name:NICHOLS, JOLI (OT)
Entity type:Individual
Prefix:
First Name:JOLI
Middle Name:
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JOLI
Other - Middle Name:
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT
Mailing Address - Street 1:1204 OFFICE PARK DRIVE
Mailing Address - Street 2:STE C
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655
Mailing Address - Country:US
Mailing Address - Phone:662-281-0022
Mailing Address - Fax:662-281-0067
Practice Address - Street 1:1204 OFFICE PARK DRIVE
Practice Address - Street 2:STE C
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-281-0022
Practice Address - Fax:662-281-0067
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist