Nichoal Jackson

NPI #1013634955 in Dayton, Ohio

Provider Information

NPI Number: 1013634955
Entity Type: Individual
Name: Nichoal Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Oct 21, 2022
Last Updated: Oct 21, 2022

Practice Location

Address: 257 HOPELAND ST
City: Dayton
State: Ohio
ZIP Code: 45417-3420
Phone: (937) 535-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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