Individual
MS. JIMMIE JO NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 DOUBLE KNOBS TRAIL, YOUNG HARRIS, GA 30582
(706) 835-5370
Mailing address
PO BOX 1022, YOUNG HARRIS, GA 30582-1022
(706) 835-5370
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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