Individual
MRS. JACQUELINE NICOLE NICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
214 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2974
(843) 553-3661
Mailing address
1815 TOWNE ST, JOHNS ISLAND, SC 29455-3173
(843) 446-2610
(843) 764-0305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14238
SC BOP
SC
Enumeration date
07/16/2013
Last updated
11/26/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us