Nichols, Jessica
Nichols, Jessica is an individual health care provider with primary practice located at 906 Tetbury Pl , Brandon MS 39047-9274. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Nichols, Jessica can be contacted via phone (662) 820-8732.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT1648 | Mississippi |
Profile Details
| NPI number | 1245428812 |
|---|---|
| LBN Legal business name | Nichols, Jessica |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Aug 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245428812 | NPPES |
| Mississippi | MEDICAID | 07728286 |
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