MRS. Jessica L Nichols, MS, CCC-A

NPI #1972776292 in La Porte, Indiana

Provider Information

NPI Number: 1972776292
Entity Type: Individual
Name: MRS. Jessica L Nichols, MS, CCC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: MS, CCC-A
Enumeration Date: Apr 8, 2008
Last Updated: Sep 21, 2020

Practice Location

Address: 304 DETROIT ST
City: La Porte
State: Indiana
ZIP Code: 46350-2497
Phone: (219) 325-3770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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