Individual
WILLIAM NICHOLAS IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 I STREET, BLDG 402, JACKSONVILLE, NC 28539
(910) 449-8875
Mailing address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
12/22/2025
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