Jackson, Nicholas

Jackson, Nicholas is an sole proprietor health care provider with primary practice located at 2500 North State St. Preventive Medicine Department, Jackson MS 39216. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Jackson, Nicholas can be contacted via phone (601) 815-8982.

Contact Information

Primary practice address
2500 North State St. Preventive Medicine Department Jackson MS 39216
Phone: (601) 815-8982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1356954440
LBN Legal business name Jackson, Nicholas
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 5 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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