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

Jessica Antoinette Nicholas

Individual provider Personal Care Attendant · NPI 1174127476

Jessica Antoinette Nicholas is a Personal Care Attendant in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5725 NE Prescott St
Portland, OR 97218-2275
Phone: (503) 548-8085
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1174127476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020

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