Individual
MS. NICHELE OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-2750
Mailing address
1268 2ND ST FRNT, HARRISBURG, PA 17113-1104
(609) 742-4795
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207RI0200X
Infectious Disease Physician
Primary
958
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02540678
HIGH MARK
PA
Enumeration date
10/18/2019
Last updated
07/30/2021
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