Crystal Jo Nichols
C.F.N.P. | Nurse Practitioner - Family | 16+ years Exp
285 Ivie Ln, Mantachie
Mississippi, 38855-9764
662-282-4197
Crystal Jo Nichols is a Mantachie, Mississippi based nurse practitioner with 16 years of experience in Family. She completed her graduation in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Crystal Jo Nichols is R870294 for Family in Mississippi. Her current practice location is 285 Ivie Ln, Mantachie. Patients can reach her at 662-282-4197 or can fax her at 662-282-5121. Crystal Jo Nichols is C.F.N.P. with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1659681328.
Crystal Jo Nichols delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Crystal Jo Nichols speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Crystal Jo Nichols |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | C.F.N.P. |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2010 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 285 Ivie Ln, Mantachie,
Mississippi, 38855-9764 |
| Phone: | 662-282-4197 |
| Fax: | 662-282-5121 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3476726720 |
| Enrollment ID: | I20111101000573 |
| NPI Number: | 1659681328 |
| NPI Enumeration Date: | 15 Oct, 2010 |
| NPI Last Update On: | 23 Oct, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Jo Nichols are as mentioned below.
| License Number | Specialization | State | Status | |
| R870294 | Family | Mississippi | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (250004) | Tupelo, MS | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Crystal Jo Nichols is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mantachie Rural Health Care, Inc (2567372121) | 9 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Crystal Jo Nichols such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05372791 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Crystal Jo Nichols
285 Ivie Ln,
Mantachie, Mississippi |
| Zip: | 38855-9764 |
| Phone Number: | 662-282-4197 |
| Fax Number: | 662-282-4197 |
Patients can reach Crystal Jo Nichols at
285 Ivie Ln, Mantachie, Mississippi or can
call to book an appointment on 662-282-4197.
Comments/ Reviews:
Patients can read all the reviews posted for Crystal Jo Nichols below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Crystal Jo Nichols. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.