Individual
JASMINE LEANN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2988 VAUGHN BRIDGE RD, HARTSELLE, AL 35640-7839
(256) 221-3583
Mailing address
2988 VAUGHN BRIDGE RD, HARTSELLE, AL 35640-7839
(256) 221-3583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-178986
AL
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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