Individual provider · Type 1 NPI

Jodi M. Nicholson, PA-C

Medical Physician Assistant · Alexandria, MN

NPI number 1922078344 Active

Practice location

1527 Broadway St
Alexandria, MN 56308-2537

Fax (320) 762-6847

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9998 (MN)

Medical Physician Assistant: Definition to come...

52 other providers at this address

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About NPI 1922078344

Jodi M. Nicholson, PA-C's National Provider Identifier is 1922078344, issued on Jan 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Alexandria, MN. The record was last updated on Jul 13, 2026.