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Callie Nicholson
NPI 1952670903 · on the registry since 2011 · sole proprietor
Practice
- Address
- 333 1st St N
Suite 200
Jacksonville Beach, FL 32250 - Phone
- (866) 387-5038
- Organisation at this address
- Open Air Wellness, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- FL, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida