Individual provider · Type 1 NPI
Jessie Nicolas
Driver · Holbrook, MA
NPI number
1316694169
Active
Practice location
6 George Rd
Holbrook, MA 02343-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 1234 (MA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1316694169
Jessie Nicolas's National Provider Identifier is 1316694169, issued on Mar 2, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Holbrook, MA. The record was last updated on Mar 2, 2022.