Individual provider · Type 1 NPI

Jessica Nichols

Specialist · Fairport, NY

NPI number 1992624035 Active

Practice location

149 N Main St
Fairport, NY 14450-1434

Call (585) 377-2230 Map

Fax (585) 377-2243

Mailing address

78 Bainbridge Ln
Webster, NY 14580-8815

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992624035

Jessica Nichols's National Provider Identifier is 1992624035, issued on Jul 13, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Jul 13, 2026.