Individual
JENNIFER NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 HAVERFORD RD, HAVERFORD, PA 19041-1139
(610) 525-2601
Mailing address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(610) 525-2601
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SPO17004
PA
Other
Enumeration date
01/11/2017
Last updated
12/05/2018
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