Jennifer Nicholson

NPI #1063731578 in Selden, New York

Provider Information

NPI Number: 1063731578
Entity Type: Individual
Name: Jennifer Nicholson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: May 24, 2010
Last Updated: May 24, 2010

Practice Location

Address: 42 NEW LN
City: Selden
State: New York
ZIP Code: 11784-3315
Phone: (631) 698-7132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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