MEDICARE: JILL NICHOLS THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1740114255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JILL NICHOLS THERAPY PLLC

Provider Business Mailing Address
First Line	:	1109 CYPRESS POINTE BLVD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-3503
Country	:	US
Telephone Number	:	402-227-5095
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 CYPRESS POINTE BLVD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-3503
Country	:	US
Telephone Number	:	402-227-5095
Fax Number	:

Authorized Official
Title or Position	:	LMFT
Name	:	JILL NICHOLS
Credential	:	LMFT, MA, BS
Telephone Number	:	402-227-5095

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1750345898 — MARY JOHNSON ARNP
Practice Location Address:

7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112

Practice Phone: 321-677-0531
Practice Fax: 321-677-0537

1609828607 — DR. WILLIAM STEPHEN CHROMEY D.C.
Practice Location Address:

1416 MARSH MEADOW LN
DAVENPORT, FL
33896

Practice Phone: 407-885-0317
Practice Fax: 407-386-3282

1447279674 — DR. KENNETH J STROUB D.O.
Practice Location Address:

978 HERITAGE PASS
DAVENPORT, FL
33896-9117

Practice Phone: 407-635-5956
Practice Fax: 321-841-6974

1083621650 — MS. ROBIN LEIGH MYERS ARNP
Practice Location Address:

1433 BUNKER DR
DAVENPORT, FL
33896-8146

Practice Phone: 412-720-1406
Practice Fax:

1942304829 — HOLIDAY CVS LLC
Practice Location Address:

7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112

Practice Phone: 321-677-0531
Practice Fax:

1073643656 — DR. RICHARD HOWARD BURNS JR. D.D.S.
Practice Location Address:

7975 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9104

Practice Phone: 863-591-0402
Practice Fax:

Directions to “JILL NICHOLS THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.