Jessica Lee Nicholson
Technician, Personal Care Attendant in Grafton, WV. Individual provider (NPI-1).
NPI number1639766652
StatusActive
Last updated in NPPESDec 23, 2020
Details
- NPI
- 1639766652
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lee Nicholson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2020
- Certification date
- Dec 23, 2020
- Last updated
- Dec 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
523 W Francis StGrafton, WV 26354-1144
Phone 304-694-3453
Mailing address
523 W Francis StGrafton, WV 26354-1144
Phone 304-694-3453
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All 138 Personal Care Attendant providers in Grafton · All 377 providers in Grafton
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