Individual
JILIAN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2000 MEDICAL PKWY STE 600, ANNAPOLIS, MD 21401-3748
(443) 924-2900
Mailing address
PO BOX 412752 APT G8, BOSTON, MA 02241-8800
(443) 481-3356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H91741
MD
Other
Enumeration date
06/01/2015
Last updated
05/03/2022
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