Nickerson, Jessica
Nickerson, Jessica is an sole proprietor health care provider with primary practice located at 1329 Ammon Park Dr , Ammon ID 83406-4591. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickerson, Jessica can be contacted via phone (208) 534-5554.Contact Information
Primary practice address
1329 Ammon Park Dr
Ammon ID 83406-4591
Phone: (208) 534-5554
Fax: (208) 534-5580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-34184 | Idaho |
Profile Details
| NPI number | 1467792036 |
|---|---|
| LBN Legal business name | Nickerson, Jessica |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2013 |
| Last updated | Jun 26th, 2023 - about 2 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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