Individual
JOLLEEN MARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
357 THIRD AVE, CLEAR LAKE, WI 54005
(715) 268-8000
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9572
WI
363LA2200X
Adult Health Nurse Practitioner
9572
WI
Other
Enumeration date
09/20/2019
Last updated
11/13/2025
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