Jennifer Lynn Nicholas (NPI# 1083978837, PAC ID# 3971759986) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083978837 |
| PAC ID by PECOS | 3971759986 |
| Professional Enrollment ID | I20120807000749 |
| Full Name | Jennifer Lynn Nicholas |
| Address |
1433 5th St Clarkston WA 99403-2714 |
| Phone Number | 5097585141109 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385610757 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1433 5th St, Clarkston, WA 99403-2714 | 5097585141109 |
| Street Address |
1433 5TH ST |
| City | CLARKSTON |
| State | WA |
| Zip | 99403-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter L Williams | Dermatology | 1433 5th St, Clarkston, WA 99403-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Mark T Eggleston | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Chad R Bouterse | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Marcia G Holthaus | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Allen M Ernster | Family Medicine | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Ann M Ridinger | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Kristine G Kemp | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Teresa L Abel | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Cheryl L Rudd | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Edward C Harkins | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Find all physicians in zip 99403 | |||
| City | CLARKSTON |
| Zip Code | 99403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Lynn Nicholas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.