| NPI | 1700621562 | 
|---|---|
| Former Name | JOSS L NICHOLSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704312837) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704312837) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704312837) | |
| Enumeration Date | 2024-06-25 | 
| Last Update Date | 2025-04-10 |