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

Individual provider Occupational Therapist · NPI 1033998372

Jessica Nickolson, OTR is an Occupational Therapist in Cornelius, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

17315 Shadow Bark Dr
Cornelius, NC 28031-9300
Phone: (717) 262-3713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16160 (NC)

Record details

NPI number1033998372
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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