Individual
JAIME L NISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7406 WALKING HORSE CT, WILMINGTON, NC 28411-7444
(336) 978-4011
Mailing address
7406 WALKING HORSE CT, WILMINGTON, NC 28411-7444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8087
NC
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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