NPI 1043810336

Jessica Nichols

Practitioner Case Manager/Care Coordinator Princeton, WV

Practice location

Address: 200 12th Street Ext, Princeton, WV 24740-2329
Phone: (301) 425-9541

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1043810336
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.