MRS. JEAN L NICHOLAS (CRNP) – Nurse Practitioner, NPI 1770551608
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JEAN L NICHOLAS (CRNP)
9375 E Market St
SUITE # 2
Warren, OH 444845515
Phone: (330) 609-5277
Fax: (330) 609-5294
Type: Location
Bren Road East, Minnetonka, Hennepin County, Minnesota, 55343, United States
MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-06
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44484)
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