Nichols, Jolleen Mary

Nichols, Jolleen Mary is an individual health care provider with primary practice located at 357 Third Ave , Clear Lake WI 54005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Nichols, Jolleen Mary can be contacted via phone (715) 268-8000.

Contact Information

Primary practice address
357 Third Ave Clear Lake WI 54005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9572 Wisconsin

Profile Details

NPI number 1770134892
LBN Legal business name Nichols, Jolleen Mary
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2019
Last updated Oct 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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