NPI 1104056878

Jane Elizabeth Nicholas, MD

Practitioner Pediatrics Physician Charleston, WV

Practice location

Address: 800 Pennsylvania Ave, Charleston, WV 25302-3351
Phone: (304) 414-1880
Fax: (304) 414-1886
Mailing address: 97 Great Teays Blvd STE 6, Scott Depot, WV 25560-9816

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 20979 (WV)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1104056878
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2009
Record last updated: 12 Aug 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.