Provider Demographics
NPI:1780650812
Name:NOLAN, JASON EDWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:EDWARD
Last Name:NOLAN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:103 PARKWAY OFFICE COURT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7429
Mailing Address - Country:US
Mailing Address - Phone:919-481-3338
Mailing Address - Fax:919-467-2436
Practice Address - Street 1:103 PARKWAY OFFICE COURT
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7429
Practice Address - Country:US
Practice Address - Phone:919-481-3338
Practice Address - Fax:919-467-2436
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH36.003433213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery