Individual
NICHOLLE HASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1555 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4424
(954) 565-9966
Mailing address
1555 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4424
(954) 565-9966
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
AMD-658
HI
363AM0700X
Medical Physician Assistant
Primary
PA9113728
FL
Other
Enumeration date
10/17/2014
Last updated
01/08/2021
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