Jackson, Nicole Danielle
Jackson, Nicole Danielle is an sole proprietor health care provider with primary practice located at 5300 Pacific Ave Se , Lacey WA 98503-7500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Jackson, Nicole Danielle can be contacted via phone (360) 438-4536.Contact Information
Primary practice address
5300 Pacific Ave Se
Lacey WA 98503-7500
Phone: (360) 438-4536
Fax: (360) 438-4568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1255592754 |
|---|---|
| LBN Legal business name | Jackson, Nicole Danielle |
| Credentials | MS, ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jun 18th, 2008 - about 16 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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