Jackson, Nicola Natasha

Jackson, Nicola Natasha is an individual health care provider with primary practice located at 651 Centre View Blvd , Crestview Hills KY 41017-5419. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Jackson, Nicola Natasha can be contacted via phone (859) 344-1900.

Contact Information

Primary practice address
651 Centre View Blvd Crestview Hills KY 41017-5419
Phone: (859) 344-1900
Fax: (859) 344-4632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 58883 Kentucky

Profile Details

NPI number 1003470311
LBN Legal business name Jackson, Nicola Natasha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2019
Last updated Jul 1st, 2024 - about last year

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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