Jack, Nichole Linda

Jack, Nichole Linda is an individual health care provider with primary practice located at 47 Krys View Dr Apt 432 , Bruceton Mills WV 26525-9775. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jack, Nichole Linda can be contacted via phone (304) 282-8293.

Contact Information

Primary practice address
47 Krys View Dr Apt 432 Bruceton Mills WV 26525-9775
Phone: (304) 282-8293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1922699487
LBN Legal business name Jack, Nichole Linda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2021
Last updated Jan 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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