Nichoal Jackson

NPI 1013634955 · on the registry since 2022 · sole proprietor

Practice

Address: 257 Hopeland St
Dayton, OH 45417
Phone: (937) 535-7115
Organisation at this address: Onefifteen Care Llc
Recovery Innovations, Inc
One Fifteen Professionals, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio