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Jodi M Nicholson, PA-C
Medical Physician Assistant in Alexandria, Minnesota
NPI 1922078344

Jodi M Nicholson is a Medical Physician Assistant based in Alexandria, MN and is specialized in Medical. Jodi M Nicholson practices in Alexandria, MN and has the professional credentials of PA-C. The NPI Number for Jodi M Nicholson is 1922078344 and holds a License No. 9998 (Minnesota).

The current practice location address for Jodi M Nicholson is 1527 Broadway St, Alexandria, MN and can be reached out via phone at 320-762-0399 and via fax at 320-762-6847.

Location: 1527 Broadway St, Alexandria, MN, 56308-2537
person
Provider Profile Details
NPI Number
1922078344
Provider Name
Jodi M Nicholson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1527 Broadway St, Alexandria, MN, 56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
318G2NI 01 MN BLUE SHIELD
A029 01 MN CHAMPUS
2360626 01 MN AMERICA'S PPO
HP53165 01 MN HEALTH PARTNERS
0121310 01 MN MEDICA
1043861 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1527 Broadway St
City
State
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider Business Mailing Address Details
Address
1527 Broadway St
City
State
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9998 (Minnesota)
Definition
Definition to come...
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