Jackson, Nicole Shelie

Jackson, Nicole Shelie is an sole proprietor health care provider with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Nicole Shelie can be contacted via phone (706) 596-5764.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Phone: (706) 596-5764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1972712446
LBN Legal business name Jackson, Nicole Shelie
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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