Jackson, Nicole Marie

Jackson, Nicole Marie is an sole proprietor health care provider with primary practice located at 4728 Monument Dr , Sacramento CA 95842-3612. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Jackson, Nicole Marie can be contacted via phone (916) 420-4306.

Contact Information

Primary practice address
4728 Monument Dr Sacramento CA 95842-3612
Phone: (916) 420-4306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 80148 California

Profile Details

NPI number 1124614300
LBN Legal business name Jackson, Nicole Marie
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2020
Last updated Dec 12th, 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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