Nicholson, Janice

Nicholson, Janice is an individual health care provider with primary practice located at 3762 Durham Rd Ste A , Roxboro NC 27573-2741. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Nicholson, Janice can be contacted via phone (336) 330-0400.

Contact Information

Primary practice address
3762 Durham Rd Ste A Roxboro NC 27573-2741
Phone: (336) 330-0400
Fax: (336) 330-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA-442 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101575 North Carolina

Profile Details

NPI number 1780763524
LBN Legal business name Nicholson, Janice
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 5th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780763524 NPPES
North Carolina MEDICAID 1780763524

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