Individual
JEAN ELLEN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Mailing address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102780
NC
Other
Enumeration date
05/30/2006
Last updated
12/15/2023
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