Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003665597 Individual Practitioner Female Practitioner

Jacqueline Renee Nichols

Technician/Technologist • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Jacqueline Nichols is a registered healthcare professional specializing in Technician/Technologist in Port Huron, MI. Practice services are available at 3111 ELECTRIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3111 Electric Ave

Port Huron, MI 480608127

Telephone 8109858900
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1497791313

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Port Huron, MI (2721 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-16
Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Croteau , RN, BSN

Registered Nurse

NPI 1003132630

Registered Nurse, Bachelor of Science in Nursing

Heather Stewart , LMSW

Social Worker - Clinical

NPI 1003237710

Licensed Master Social Worker

Micaela Champine

Peer Specialist

NPI 1003345562
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Shelby Graham

Case Manager/Care Coordinator

NPI 1003777103
Brian Fanion , LMSW

Social Worker - Clinical

NPI 1013223775

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2024

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

📍
Updated Business Mailing Address May 16, 2024

Registered at 512 QUAY ST, PORT HURON, MI 480603832

👤
Provider Name / Credentials Updated May 16, 2024

Recorded as JACQUELINE NICHOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2024

Technician/Technologist

🟢
Initial NPI Registration & Enumeration May 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003665597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2024
Last Update: May 16, 2024
Sole Proprietor: No

Mailing Address

512 Quay St

Port Huron, MI 480603832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.