Search › Ohio › 164W00000X
Nicole Jackson
NPI 1124299680 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1830 Southern Pkwy
Springfield, OH 45506 - Phone
- (937) 360-7925
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-12
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