STEPHANIE ELIZABETH NICHOLLS

KETTERING, OH
NPI1104437425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OH  50.006553RX)
Additional Taxonomies208M00000X Hospitalist
(Licence: OH  50.006553RX)
Enumeration Date2020-08-11
Last Update Date2024-04-17
Business Address
Ms. STEPHANIE ELIZABETH NICHOLLS PA-C
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6665
Mailing Address
Ms. STEPHANIE ELIZABETH NICHOLLS PA-C
1573 BEAVER RIDGE DR
KETTERING, OH 45429-4005
Phone number: 937-903-3471