IndividualActive
Alicia Nichols, CRNP
NPI 1619462843 · Dermatology Physician · Northport, AL
Provider details
- NPI number
- 1619462843
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-151045 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4410 Watermelon Rd
Northport, AL 35473-5204
Phone: (205) 345-1520
Approximate (ZIP-level) locationGet directions
Mailing address
4410 Watermelon Rd
Northport, AL 35473-5204
Registry dates
- Enumerated
- 2018-06-29
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.