Individual
JOYNITA R. NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 769-2015
(804) 769-2014
Mailing address
3810 W BROAD ST STE 104, RICHMOND, VA 23230-3927
(804) 655-6008
(833) 428-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190771
—
VA
01
—
1153359
AETNA HMO
VA
01
—
180919
ANTHEM BCBS OF VA
VA
01
—
3576236
CIGNA
VA
01
—
760728
AETNA LIFE
VA
Enumeration date
07/03/2006
Last updated
04/16/2025
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