Individual
MRS. YOLANDA MCCLAM NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
112 N BENBOW ROAD, GREENSBORO, NC 27411-7299
(336) 285-2906
(336) 256-2613
Mailing address
1701 WESTCHESTER DR, STE. 850, HIGH POINT, NC 27262-7008
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2595054
PTAN MEDICARE
NC
Enumeration date
09/30/2010
Last updated
06/14/2019
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