Search › Wisconsin › 183500000X
Nick Jackson, RPH
NPI 1477806131 · on the registry since 2012
Practice
- Address
- N3108 Schacht Rd.
Peshtigo, WI 54157 - Phone
- (715) 582-2171
- Fax
- (920) 834-9801
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- WI, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-18
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 Wisconsin