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

Jennifer Lynn Nicholas, FNP

Individual provider Nurse Practitioner · NPI 1083978837

Jennifer Lynn Nicholas, FNP is a Nurse Practitioner in Clarkston, Washington. Qualified in 2012, 14 years ago. Practices with Integrated Dermatology of Clarkston PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1433 5th St
Clarkston, WA 99403-2714
Phone: (509) 758-5141
Fax: (509) 758-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP.AP.60299874-NP (WA)

Record details

NPI number1083978837
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Integrated Dermatology Of Clarkston Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarkston