Jackson, Nicole

Jackson, Nicole is an individual health care provider with primary practice located at 7521 Brayton Dr , Anchorage AK 99507-2667. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Jackson, Nicole can be contacted via phone (907) 334-6053.

Contact Information

Primary practice address
7521 Brayton Dr Anchorage AK 99507-2667
Phone: (907) 334-6053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1245981950
LBN Legal business name Jackson, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2022
Last updated Jan 13th, 2022 - about 2 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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