Individual
NICOLE MCCRORY CONSTANTZ JERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4856
(530) 582-6432
(530) 582-6430
Mailing address
PO BOX 759, TRUCKEE, CA 96160-0759
(530) 582-6432
(530) 582-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A146091
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A146091
CA
Other
Enumeration date
03/28/2015
Last updated
08/23/2024
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