Jackson, Nicole R

Jackson, Nicole R is an individual health care provider with primary practice located at 30 E Apple St , Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Nicole R can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 223-9811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.13850.NP Ohio

Profile Details

NPI number 1255679940
LBN Legal business name Jackson, Nicole R
Credentials CNP, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2013
Last updated Apr 20th, 2016 - about 10 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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