Individual
JILL A NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
1320 WEST MAIN STREET, NEWARK, OH 43055
(220) 564-4151
(220) 564-7153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077718
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2252333
—
OH
Enumeration date
11/08/2005
Last updated
04/03/2023
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