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Jessica Nichols, LPN

Licensed Vocational Nurse in Philadelphia, PA. Individual provider (NPI-1).

NPI number1093294167
StatusActive
Last updated in NPPESAug 9, 2018

Details

NPI
1093294167
Entity type
Individual (NPI-1)
Name
Jessica Nichols
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2018
Last updated
Aug 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nursepn303298PAYes

Practice location

426 E Allegheny Ave
Philadelphia, PA 19134-2338

Phone 215-739-1400

Mailing address

5719 Pemberton St
Philadelphia, PA 19143-2421

Phone 215-739-1400

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