person
Ms. Janis M Nicholson, MA,APRN,CS
Psychiatric/Mental Health Nurse Practitioner in Newington, Connecticut
NPI 1700952413

Janis M Nicholson is a Psychiatric/Mental Health Nurse Practitioner based in Newington, CT and is specialized in Psychiatric/Mental Health. Janis M Nicholson practices in Newington, CT and has the professional credentials of MA,APRN,CS. The NPI Number for Janis M Nicholson is 1700952413 and holds a License No. APRN 000804 (Connecticut).

The current practice location address for Janis M Nicholson is 278 Goodale Drive, Newington, CT and can be reached out via phone at 860-667-0665 and via fax at 860-667-0665. You can also correspond with Janis M Nicholson through the mailing address at 278 GOODALE DRIVE, NEWINGTON, CT - 06111-3131 (mailing address contact number: 860-667-0665).

Location: 278 Goodale Drive, Newington, CT, 06111-3131
person
Provider Profile Details
NPI Number
1700952413
Provider Name
Janis M Nicholson
Credential
MA,APRN,CS
Provider Entity Type
Individual
Gender
Female
Address
278 Goodale Drive, Newington, CT, 06111-3131
Phone Number
860-667-0665
Fax Number
860-667-0665
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
400000804CT02 01 CT ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
278 Goodale Drive
City
State
Zip
06111-3131
Phone Number
860-667-0665
Fax Number
860-667-0665
person
Provider Business Mailing Address Details
Address
278 Goodale Drive
City
State
Zip
06111-3131
Phone Number
860-667-0665
Fax Number
860-667-0665
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN 000804 (Connecticut)
Definition
Definition to come...
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