Individual
JERE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
114 6TH AVE STE 2, INDIALANTIC, FL 32903-3255
(321) 409-8808
Mailing address
114 6TH AVE STE 2, INDIALANTIC, FL 32903-3255
(321) 409-8808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 720
FL
Other
Enumeration date
07/19/2006
Last updated
04/12/2017
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