Jacquelyn D Nichols, PA-C
NPI #1225570633 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1225570633
- Entity Type
- Individual
- Name
- Jacquelyn D Nichols, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 16, 2016
- Last Updated
- Nov 13, 2019
Practice Location
- Address
- 824 ILLINOIS AVE
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481-3112
- Phone
- (715) 342-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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