NPI
Jeffrey Gerard Nicholson
NPI 1326018904
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Credential
- PA
- Type
- Individual
- Enumeration date
- 2006-01-25
- Last updated
- 2017-08-17
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Specialties
Licenses
- License WI
- 904-023
Location
- Practice location
- 19035 W Capitol Dr, Suite 101
- City
- Brookfield WI
- Postal code
- 53045-2755
- Phone
- (262) 754-1421
- Fax
- (262) 754-3760
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Brookfield, WI. 22 with this primary taxonomy in the public file.
Other NPIs in Brookfield, WI. 2,562 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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