National Provider Identifier

Jacqueline Elizabeth Nicholson, L.P.N

Jacqueline Elizabeth Nicholson, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 775-6295.

NPI 1104285089Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1104285089
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 19, 2016
Last Updated
February 19, 2016

Practice Location

  • 124-B Harris Park
  • Rochester, NY 14610-1177

Phone: (585) 775-6295

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104285089
Entity Type
Individual
Last Name
Nicholson
First Name
Jacqueline
Middle Name
Elizabeth
Name Prefix
MS.
Credential
L.P.N
Mailing Street Address
124-B Harris Park
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1177
Mailing Country
US
Mailing Phone
(585) 775-6295
Practice Street Address
124-B Harris Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1177
Practice Country
US
Practice Phone
(585) 775-6295
Enumeration Date
February 19, 2016
Last Updated
February 19, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)