Individual provider · Type 1 NPI

Nicole Lee Edmonds

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1851093918 Active

Practice location

1221 Lee Street Primary Care Center 3rd Floor Room 3512
Charlottesville, VA 22908-0816

Call (434) 924-5115 Map

Fax (434) 244-4504

Mailing address

1215 Lee St Box # 800718
Charlottesville, VA 22908-0816

Other practice locations

  • 55 Fruit St, Boston, MA 02114-2621 · (617) 726-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116039007 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851093918

Nicole Lee Edmonds's National Provider Identifier is 1851093918, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on May 16, 2025.