Individual
VERONICA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 MCGOWAN RD, JACKSONVILLE, NC 28540-8776
(317) 832-0076
Mailing address
141 MCGOWAN RD, JACKSONVILLE, NC 28540-8776
(317) 832-0076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
84421
NC
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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