Mrs. Tara Lynn Nichols
CNP | Nurse Practitioner
2600 6th St Sw, Canton
Ohio, 44710-1702
330-363-1342
Mrs. Tara Lynn Nichols is a Canton, Ohio based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Mrs. Tara Lynn Nichols is APRN.CNP.020528 in Ohio. Her current practice location is 2600 6th St Sw, Canton. Patients can reach her at 330-363-1342. Mrs. Tara Lynn Nichols is CNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1205364007.
Mrs. Tara Lynn Nichols has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Tara Lynn 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: | Mrs. Tara Lynn Nichols |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNP |
| Practice Address: | 2600 6th St Sw, Canton,
Ohio, 44710-1702 |
| Phone: | 330-363-1342 |
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.
| NPI Number: | 1205364007 |
| NPI Enumeration Date: | 24 May, 2017 |
| NPI Last Update On: | 23 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tara Lynn Nichols are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN.CNP.020528 | | Ohio | Primary | |
| 365623 | Registered Nurse | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Tara Lynn Nichols such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1205364007 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Tara Lynn Nichols
2600 6th St Sw Ste A2-800,
Canton, Ohio |
| Zip: | 44710-1702 |
| Phone Number: | 330-363-1342 |
| Fax Number: | 330-363-1361 |
Patients can reach Mrs. Tara Lynn Nichols at
2600 6th St Sw, Canton, Ohio or can
call to book an appointment on 330-363-1342.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.