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Individual

JENNIFER C NICOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 JULIAN LN, SUITE 630, ARDEN, NC 28704-7813
(828) 651-0121
(828) 651-0141
Mailing address
600 JULIAN LANE, SUITE 630, ARDEN, NC 28704
(828) 651-0121
(828) 651-0141

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004000722
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01760
COMMERCIAL PRIVATE PAY
01
1369E
BCBS
01
2307353
UHC
01
561565803
CIGNA HEALTHCARE OF NC
01
891369E
CAROLINA ACCESS
05
891369E
NC
01
P00157233
MEDICARE METRAHEALTH
Enumeration date
02/27/2006
Last updated
02/26/2016
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