Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Gerard Nicholson, PA

Individual provider Physician Assistant · NPI 1326018904

Jeffrey Gerard Nicholson, PA is a Physician Assistant in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19035 W Capitol Dr Ste 101
Brookfield, WI 53045-2755
Phone: (262) 754-1421
Fax: (262) 754-3760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 904-023 (WI)

Record details

NPI number1326018904
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESAugust 17, 2017

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