Individual
JENNIFER C NICOLINI
Active
Individual
JENNIFER C NICOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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