Jodi M Nicholson, PA-C
NPI #1922078344 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1922078344
- Entity Type
- Individual
- Name
- Jodi M Nicholson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1527 BROADWAY ST
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-2537
- Phone
- (320) 762-0399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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