Jackson, Nicole

Jackson, Nicole is an sole proprietor health care provider with primary practice located at 421 Mary Esther Cut Off Nw , Fort Walton Beach FL 32548-4084. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Nicole can be contacted via phone (850) 301-1334.

Contact Information

Primary practice address
421 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4084
Phone: (850) 301-1334
Fax: (850) 301-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS32321 Florida

Profile Details

NPI number 1609231810
LBN Legal business name Jackson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2015
Last updated Dec 15th, 2015 - about 11 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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