Individual
JACQUELINE OLIVIA NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL # PLACE278, NEW BRUNSWICK, NJ 08901-1928
(732) 235-4296
Mailing address
1 ROBERT WOOD JOHNSON PL # PLACE278, NEW BRUNSWICK, NJ 08901-1928
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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