Nicole Jackson is a Professional in Yorktown, Virginia. Nicole Jackson practices all healthcare services and medical treatments related to Professional. The NPI Number for Nicole Jackson is 1578740023. The last update date is 2020-06-16.
Nicole Jackson's current location address is 200 Mallard Ln, Yorktown, Virginia. You can contact this provider via phone number 7577686878. The mailing address for Nicole Jackson is 200 Mallard Ln, Yorktown, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Jackson |
|---|---|
| Address | 200 Mallard Ln, Yorktown, Virginia |
| Phone Number | 7577686878 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1578740023 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2020-06-16 |
Provider Mailing Address Detail
| Address | 200 Mallard Ln |
|---|---|
| City | Yorktown |
| State | Virginia (VA) |
| Post Code | 236924358 |
| Phone Number | 7577686878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 701004259 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4945573 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nicole Jackson by the Centers for Medicare & Medicaid Services?
The Nicole Jackson has been issued the NPI (National Provider Identifier) 1578740023 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Nicole Jackson is physically located?
The Nicole Jackson is situated at the following address: 200 Mallard Ln, Yorktown, VA 236924358.
What is the Nicole Jackson's specialty and taxonomy code?
The Nicole Jackson's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Nicole Jackson receive the assignment of its 1578740023 from the Centers for Medicare & Medicaid Services?
The Nicole Jackson was issued its 1578740023 by the Centers for Medicare & Medicaid Services on 2008-01-28.
As of what date were the details related to Nicole Jackson most recently updated or revised?
The information pertaining to Nicole Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-16.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA