Individual
MRS. NICOLE M JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-6053
(614) 355-6072
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003086
OH
Other
Enumeration date
09/15/2010
Last updated
06/28/2023
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