JAE NICHOLSON NPI 1619620176

NPI Information

NPI: 1619620176
Provider Name: JAE NICHOLSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2490 BOONVILLE RD
BRYAN, TX
ZIP 77808
Phone: (979) 703-1808
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Jae Nicholson is a professional counselor in Bryan, TX. Jae Nicholson NPI is 1619620176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2490 BOONVILLE RD
BRYAN, TX
ZIP 77808-326
Phone: (979) 703-1808

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	76655		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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