Jackson, Nikkita
Jackson, Nikkita is an sole proprietor health care provider with primary practice located at 454 Westchester Avenue , Port Chester NY 10573. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Jackson, Nikkita can be contacted via phone (914) 351-0650.Contact Information
Primary practice address
454 Westchester Avenue
Port Chester NY 10573
Phone: (914) 351-0650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 788484 | New York |
Profile Details
| NPI number | 1023627288 |
|---|---|
| LBN Legal business name | Jackson, Nikkita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023627288 | NPPES |
| New York | Other | 131740445 | N/A |
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