Individual
JESSICA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 BROTHER ARTHUR TRL, INMAN, SC 29349-4000
(954) 736-0278
Mailing address
2017 BROTHER ARTHUR TRL, INMAN, SC 29349-4000
(954) 736-0278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9160
SC
235Z00000X
Speech-Language Pathologist
SA18011
FL
Other
Enumeration date
11/27/2012
Last updated
09/03/2025
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