Individual provider · Type 1 NPI

Jennifer Lynn Nicholas, FNP

Nurse Practitioner · Clarkston, WA

NPI number 1083978837 Active

Practice location

1433 5th St
Clarkston, WA 99403-2714

Fax (509) 758-5299

Mailing address

4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP.AP.60299874-NP (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083978837

Jennifer Lynn Nicholas, FNP's National Provider Identifier is 1083978837, issued on Jun 26, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clarkston, WA. The record was last updated on Aug 3, 2026.