Individual provider · Type 1 NPI

Joanna Camille Nicholson, PA-C

Surgical Physician Assistant · San Diego, CA

NPI number 1982833232 Active

Practice location

9339 Genesee Ave, Plaza 39
San Diego, CA 92121-2119

Call (858) 455-7557 Map

Fax (858) 455-1287

Mailing address

PO Box 12060
Las Vegas, NV 89112-0060

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X16008 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1982833232

Joanna Camille Nicholson, PA-C's National Provider Identifier is 1982833232, issued on Jul 8, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Dec 23, 2011.