person
Joanna Camille Nicholson, PA-C
Surgical Physician Assistant in San Diego, California
NPI 1982833232

Joanna Camille Nicholson is a Surgical Physician Assistant based in Las Vegas, CA and is specialized in Surgical. Joanna Camille Nicholson practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Joanna Camille Nicholson is 1982833232 and holds a License No. 16008 (California).

The current practice location address for Joanna Camille Nicholson is 9339 Genesee Ave, San Diego, CA and can be reached out via phone at 858-455-7557 and via fax at 858-455-1287. You can also correspond with Joanna Camille Nicholson through the mailing address at PO BOX 12060, LAS VEGAS, NV - 89112-0060 (mailing address contact number: 702-360-2100).

Location: 9339 Genesee Ave, San Diego, CA, 89112-0060
person
Provider Profile Details
NPI Number
1982833232
Provider Name
Joanna Camille Nicholson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9339 Genesee Ave, San Diego, CA, 89112-0060
Phone Number
858-455-7557
Fax Number
858-455-1287
Provider Enumeration Date
07/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9339 Genesee Ave
City
State
Zip
92121-2119
Phone Number
858-455-7557
Fax Number
858-455-1287
person
Provider Business Mailing Address Details
Address
9339 Genesee Ave
City
State
Zip
92121-2119
Phone Number
858-455-7557
Fax Number
858-455-1287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
16008 (California)
Definition
Definition to come...
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