Jillian Frances Nicholson, ATC, LAT

Athletic Trainer · Hazelhurst, WI

Individual Active NPI

NPI number 1669795753

Practice location

6119 CTH Y # 13
Hazelhurst, WI 54531-9762
Phone
(715) 564-4326

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NPI record

NPI
1669795753
Entity type
Individual (Type 1)
Enumeration date
March 4, 2010
Last updated
August 15, 2023
Certified
August 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1059-039 WI

About Jillian Nicholson

Jillian Frances Nicholson, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6119 CTH Y # 13, Hazelhurst, WI 54531-9762. The NPI number 1669795753 was assigned on March 4, 2010 and the record was last updated on August 15, 2023.

Jillian Nicholson lists a license in the registry: #1059-039 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jillian Frances Nicholson, ATC, LAT?

The NPI number is 1669795753.

What is the phone number of Jillian Nicholson?

The phone number listed for the practice location is (715) 564-4326.

Where is Jillian Nicholson located?

6119 CTH Y # 13, Hazelhurst, WI 54531-9762.

What is the taxonomy code for Jillian Nicholson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.