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

MS. Susan Kay Nicholson, PA

Individual provider Physician Assistant · NPI 1275546020

MS. Susan Kay Nicholson, PA is a Physician Assistant in Saint Louis, Missouri. Registered with an NPI since 2006.

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

915 N Grand Blvd 111-JC/GI
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Fax: (314) 289-7035
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275546020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007

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