Provider Demographics
NPI:1972332021
Name:NICHOLS, LAUREN JAYE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:JAYE
Last Name:NICHOLS
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 EXECUTIVE CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8870
Mailing Address - Country:US
Mailing Address - Phone:614-355-6100
Mailing Address - Fax:
Practice Address - Street 1:455 EXECUTIVE CAMPUS DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8870
Practice Address - Country:US
Practice Address - Phone:614-355-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily