Nicole Jackson in Springfield - Licensed Practical Nurse
Nicole Jackson - NPI 1124299680
Nicole Jackson is a Licensed Practical Nurse in Springfield, Ohio. Nicole Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Nicole Jackson is 1124299680. The last update date is 2008-03-12.
Nicole Jackson's current location address is 1830 Southern Pkwy, Springfield, Ohio. You can contact this provider via phone number 9373607925. The mailing address for Nicole Jackson is 1830 Southern Pkwy, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Jackson |
|---|---|
| Address | 1830 Southern Pkwy, Springfield, Ohio |
| Phone Number | 9373607925 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124299680 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | 1830 Southern Pkwy |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455063115 |
| Phone Number | 9373607925 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 122408 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Nicole Jackson's 1124299680?
The Nicole Jackson's NPI (National Provider Identifier) Number is 1124299680. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Nicole Jackson located?
The Nicole Jackson is located at 1830 Southern Pkwy, Springfield, OH 455063115.
What is Nicole Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicole Jackson's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did Nicole Jackson receive its 1124299680 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Jackson was assigned its 1124299680 on 2008-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Nicole Jackson's details last updated?
The information pertaining to the Nicole Jackson, including its address, specialty, and other details, was most recently updated on 2008-03-12.