Nicole Jackson
NPI #1124299680 in Springfield, Ohio
Provider Information
- NPI Number
- 1124299680
- Entity Type
- Individual
- Name
- Nicole Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 12, 2008
- Last Updated
- Mar 12, 2008
Practice Location
- Address
- 1830 SOUTHERN PKWY
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45506-3115
- Phone
- (937) 360-7925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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