Tamara Jo Nicholson
Technician/Technologist
4333 Bell Rd Unit 1610
Newburgh
, Indiana 47630-8177
Tamara Jo Nicholson
Technician/Technologist
4333 Bell Rd Unit 1610
Newburgh
, Indiana 47630-8177
(812) 490-6259
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Tamara Jo Nicholson
- 4333 Bell Rd Unit 1610
- Newburgh, IN
- Zip : 47630-8177
- Fax : (812) 490-6259
- Phone : (812) 202-0659
Second Address
- Tamara Jo Nicholson
- 4333 Bell Rd Unit 1610
- Newburgh, IN
- Zip : 47630-8177
- Fax : (812) 490-6259
- Phone : (812) 202-0659
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156F00000X | Technician/Technologist | 28077920A | IN |
National Provider Identifier
| NPI | 1265691828 |
|---|---|
| Provider Name | Tamara Jo Nicholson |
| First Address | Newburgh, IN 47630-8177 |
| Second Address | Newburgh, IN 47630-8177 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
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.