Individual
SHESHANA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12836 US HIGHWAY 258, SCOTLAND NECK, NC 27874-8626
(704) 240-5319
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(704) 240-5319
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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