Individual
NANCIE G JAICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
337 BRANDI LYNN LN, EVANS CITY, PA 16033-7709
(724) 272-9156
Mailing address
337 BRANDI LYNN LN, EVANS CITY, PA 16033-7709
(724) 272-9156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN544261
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN544261
—
PA
Enumeration date
01/06/2021
Last updated
01/06/2021
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