Individual
NICOLE J PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 BELMONT ST, SUITE 102, BROCKTON, MA 02301
(774) 776-2991
(747) 776-2996
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4323
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110125684A
—
MA
Enumeration date
01/09/2012
Last updated
02/20/2026
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