Individual
JESSICA NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2158 TOWER HILL RD, POWHATAN, VA 23139-6007
(804) 475-7573
Mailing address
2158 TOWER HILL RD, POWHATAN, VA 23139-6007
(804) 475-7573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12148721
VA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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