JILL NICHOLAS

HATTIESBURG, MS
NPI1295288033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R881571)
Enumeration Date2016-07-28
Last Update Date2017-04-28
Business Address
-- JILL NICHOLAS NP-C
5003 HARDY ST
HATTIESBURG, MS 39402-1319
Phone number: 601-296-3530
Mailing Address
-- JILL NICHOLAS NP-C
391 SANDHILL RD
ELLISVILLE, MS 39437-8423
Phone number: 601-325-4765