Individual
DR. JACQUELINE ANN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 OLENTANGY RIVER RD STE S1501, COLUMBUS, OH 43214-3908
(614) 533-5500
(614) 533-0103
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35121311
OH
2084N0400X
Neurology Physician
MT191160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086020
—
OH
Enumeration date
05/08/2008
Last updated
08/02/2024
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