NPI 1093294167

Jessica Nichols, LPN

Practitioner Licensed Vocational Nurse Philadelphia, PA

Practice location

Address: 426 E Allegheny Ave, Philadelphia, PA 19134-2338
Phone: (215) 739-1400
Mailing address: 5719 Pemberton St, Philadelphia, PA 19143-2421

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence PN303298 (PA)

Other Licensed Vocational Nurse providers in Pennsylvania →

Registry record

NPI: 1093294167
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2018
Record last updated: 9 Aug 2018

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.