Courtney N. Nicholson PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Courtney N Nicholson PA-C
NPI Number
1649852138
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/23/2021
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9114339
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746638
14540 OLD SAINT AUGUSTINE RD STE 2201
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6638
32258-7418
Country
US
US
Telephone Number
(904) 202-1032
(904) 880-9696
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/14/2023
Provider Address
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