Ann Elizabeth Nicholson
Physician Assistant in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1467242594
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1467242594
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ann Elizabeth Nicholson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2025
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3688 Veteran Memorial DriveHattiesburg, MS 39401
Phone 601-554-7400
Mailing address
74 Aultman RdSumrall, MS 39482-4026
Phone 601-569-9614
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All 25 Physician Assistant providers in Hattiesburg · All 3,372 providers in Hattiesburg
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