Jackson, Amanda Nicole

Jackson, Amanda Nicole is an sole proprietor health care provider with primary practice located at 923 Cottage Ave , Miamisburg OH 45342-1805. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Amanda Nicole can be contacted via phone (937) 716-6219.

Contact Information

Primary practice address
923 Cottage Ave Miamisburg OH 45342-1805
Phone: (937) 716-6219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.144284-M-IV Ohio

Profile Details

NPI number 1528309473
LBN Legal business name Jackson, Amanda Nicole
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2013
Last updated Mar 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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