Provider Demographics
NPI:1316751852
Name:NICHOLAS, KARLY MCCALL (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:KARLY
Middle Name:MCCALL
Last Name:NICHOLAS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 PERKINS CREEK DR APT 317
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7514
Mailing Address - Country:US
Mailing Address - Phone:618-309-2380
Mailing Address - Fax:
Practice Address - Street 1:2501 KENTUCKY AVE STE 103
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3813
Practice Address - Country:US
Practice Address - Phone:270-444-9199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4025087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily