NICOLE JACKSON

Licensed Practical Nurse

Active Individual
NPI: 1124299680

Practice Address

1830 SOUTHERN PKWY
Springfield, OH 45506

Phone: (937) 360-7925

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 122408 (OH)

Frequently Asked Questions

NPI 1124299680 is the National Provider Identifier for NICOLE JACKSON, a Licensed Practical Nurse provider located in Springfield, OH. This NPI was enumerated on March 12, 2008.
NICOLE JACKSON practices at 1830 SOUTHERN PKWY, Springfield, OH 45506.

Quick Facts

NPI
1124299680
Type
Individual
Enumerated
Mar 12, 2008
Last Updated
Mar 12, 2008

Nearby Providers