Jackson, Niketa

Jackson, Niketa is an individual health care provider with primary practice located at 11811 Erie Rd , Parrish FL 34219-6510. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Niketa can be contacted via phone (941) 417-7979.

Contact Information

Primary practice address
11811 Erie Rd Parrish FL 34219-6510
Fax: (941) 417-7999
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1720589781
LBN Legal business name Jackson, Niketa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Feb 26th, 2018 - about 7 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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