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1790237394
JASON S NICHOLSON
JOHNSON CITY, TN
NPI
1790237394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21978)
Enumeration Date
2016-10-30
Last Update Date
2023-12-01
Business Address
JASON S NICHOLSON FNP
301 MED TECH PKWY STE 120
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5590
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Mailing Address
JASON S NICHOLSON FNP
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-433-6625
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