JESSICA L NICHOLSON


Address: 1633 N Capitol Ave., Suite 750, Indianapolis, IN 46202-1270
Phone: 3179620963

JESSICA L NICHOLSON (NPI# 1275848525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275848525
Entity Type Individual
Full Name JESSICA L NICHOLSON
Credential NP
Practice Address 1633 N Capitol Ave.
Suite 750
Indianapolis
IN 46202-1270
Mailing Address 250 N Shadeland Ave
Suite 130 - Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 3179620963
Practice Fax Number 3179622455
Mailing Telephone 3179566288
Mailing Fax Number 3179624343
Enumeration Date 2010-08-11
Last Update Date 2016-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71003324A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
7100332A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200995570 05

Other Providers JESSICA NICHOLSON

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1134742554 Jessica Leah Nicholson Registered Nurse 163 Veterans Dr, White River Junction, VT 05009-0001 2020-05-20
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1750890489 Jessica Nicholson Speech-Language Pathologist 115 Sudbrook Ln Ste A, Pikesville, MD 21208-4184 2017-09-26
1407190739 Jessica Nicholson Occupational Therapy Assistant 1 Oakwood Blvd Ste 130, Hollywood, FL 33020-1937 2012-11-27
1851686844 Jessica Diane Nicholson Counselor 6439 Garners Ferry Road, Columbia, SC 29208-4123 2011-06-17
1376700112 Jessica Nicholson Pediatrics 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2008-05-20

Office Location

Street Address 1633 N CAPITOL AVE.
SUITE 750
City INDIANAPOLIS
State IN
Zip Code 46202-1270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043250939 Herbert Reid Mattison Internal Medicine 1633 N Capitol Ave., Suite 750, Indianapolis, IN 46202-1270 2006-06-07
1437199296 Ravi K Misra Internal Medicine 1633 N Capitol Ave., Suite 750, Indianapolis, IN 46202-1270 2006-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851852727 Carmen Lagaye Bogle Nurse Practitioner 1050 W 72nd St, Indianapolis, IN 46260-4037 2019-03-25
1861991176 Kimberly S Houchens Nurse Practitioner 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 2018-02-02
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1194259879 Bahtrena Rogers Nurse Practitioner 9302 Budd Run Dr, Indianapolis, IN 46250-1322 2017-04-19
1538512090 Martita Rolanda Meeks Nurse Practitioner 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 2016-07-20
1194177022 Stephanie R Young Nurse Practitioner 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 2016-07-03
1114394426 Tamara Sue Roberts Nurse Practitioner 7911 N Michigan Road, Indianapolis, IN 46268-1360 2015-08-24
1023426780 Lesli White Nurse Practitioner 1 Allison Way, Indianapolis, IN 46222-3271 2014-07-25
1386070274 Kimberly Demasie Nurse Practitioner 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 2013-09-24
1669788204 Shannon L Childers-page Nurse Practitioner 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 2010-08-20
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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