Nix, Jeanine Donaldson

Nix, Jeanine Donaldson is an sole proprietor health care provider with primary practice located at 1957 Jackson St , Hollywood FL 33020-5021. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nix, Jeanine Donaldson can be contacted via phone (954) 921-2600.

Contact Information

Primary practice address
1957 Jackson St Hollywood FL 33020-5021
Phone: (954) 921-2600
Fax: (954) 497-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW1166 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1166 Florida

Profile Details

NPI number 1528197654
LBN Legal business name Nix, Jeanine Donaldson
Credentials PH.D. LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Oct 10th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528197654 NPPES
Florida MEDICAID 767418000

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