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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JEEN NICOLA, CRNP

Active

MARY JEEN NICOLA, CRNP is a Nurse Practitioner healthcare provider located in IRWIN, Pennsylvania. NPI 1407689870 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · IRWIN, PA

Registration Details

NPI Number
1407689870
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2024 (1.9631732133588 yrs)
Last Updated
Jul 22, 2025
Licenses
SP030310 (PA)
APRN11034854 (FL)

Practice Information

Address
905 SPRUCE ST
IRWIN, PA, 156423683
Browse PA providers · Browse ZIP 15642
Phone
7248649595
Fax
7248649860
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in IRWIN, PA

Name Credential NPI
VINCENT GOLIK FNP-C 1104226547
MRS. MIA ELIZABETH GRILL NP 1730985128
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.