Individual
JENNIFER LYNN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1433 5TH ST, CLARKSTON, WA 99403-2714
(509) 758-5141
(509) 758-5299
Mailing address
1433 5TH ST, CLARKSTON, WA 99403-2714
(509) 758-5141
(509) 758-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60299874
WA
Other
Enumeration date
06/26/2012
Last updated
12/30/2019
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