Jane M Nicholson
Obstetrician & Gynecologist Clinical Genetics (M.D.)
4260 Plymouth Rd
Ann Arbor
, Michigan 48109-2700
Jane M Nicholson
Obstetrician & Gynecologist Clinical Genetics (M.D.)
4260 Plymouth Rd
Ann Arbor
, Michigan 48109-2700
(734) 647-5299
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jane M Nicholson
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Jane M Nicholson
- 4260 Plymouth Rd
- Ann Arbor, MI
- Zip : 48109-2700
- Phone : (734) 647-5660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 4301406209 | MI |
| N | 207V00000X | Obstetrician & Gynecologist | 4301406209 | MI |
National Provider Identifier
| NPI | 1295822054 |
|---|---|
| Provider Name | Jane M Nicholson |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Ann Arbor, MI 48109-2700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 30/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2686830 | (05) | MI |
| E68078 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.