Individual
MRS. ANN ELIZABETH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3688 VETERAN MEMORIAL DRIVE, HATTIESBURG, MS 39401
(601) 554-7400
Mailing address
74 AULTMAN RD, SUMRALL, MS 39482-4026
(601) 569-9614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
07/17/2025
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