Individual
NICHOLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 219-3377
Mailing address
205 TROPHY RIDGE DR, RICHLANDS, NC 28574-8490
(239) 340-3969
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
320724
NC
363AS0400X
Surgical Physician Assistant
Primary
3518-23
WI
Other
Enumeration date
09/01/2015
Last updated
04/24/2024
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