Jackson, Nicole

Jackson, Nicole is an individual health care provider with primary practice located at 200 Banning St Ste 260 , Dover DE 19904-3489. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Nicole can be contacted via phone (302) 224-1400.

Contact Information

Primary practice address
200 Banning St Ste 260 Dover DE 19904-3489
Phone: (302) 224-1400
Fax: (302) 224-1402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG0001029 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG0001029 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X L80010226 Delaware

Profile Details

NPI number 1366974628
LBN Legal business name Jackson, Nicole
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Feb 20th, 2023 - about 3 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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