Mary Nicholas, MD - Jackson, TN

Mary Nicholas, MD

Student in an Organized Health Care Education/Training Program in Jackson, Tennessee

NPI 1538929302

Mary Nicholas is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Mary Nicholas practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Mary Nicholas is 1538929302 and holds a License No. (Tennessee).

The current practice location address for Mary Nicholas is 294 Summar Dr, Jackson, TN and can be reached out via phone at 731-423-1932 and via fax at 731-660-8739.

Location: 294 Summar Dr, Jackson, TN, 38301-3915

NPI Number

1538929302

Provider Name

Mary Nicholas

Credential

Provider Entity Type

Individual

Gender

Female

Address

294 Summar Dr, Jackson, TN, 38301-3915

Phone Number

731-423-1932

Fax Number

731-660-8739

Provider Enumeration Date

03/20/2024

Last Update Date

04/14/2024

Address

294 Summar Dr

City

Jackson

State

Tennessee

Zip

38301-3915

Phone Number

731-423-1932

Fax Number

731-660-8739

Address

294 Summar Dr

City

Jackson

State

Tennessee

Zip

38301-3915

Phone Number

731-423-1932

Fax Number

731-660-8739

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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