Individual
JENNIFER GAIL NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2511407
MN
163W00000X
Registered Nurse
Primary
772486
TX
163W00000X
Registered Nurse
95281324
CA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
Update your record
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