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Contact Information

NICOLE N JACKSON
4810 COMMERCIAL DR NW RM 109
HUNTSVILLE, AL35816-2206
 Phone: 256-288-6356
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for NICOLE N JACKSON · (Female)

NPI Number 1255039913
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2023
Last updated 02/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 2317203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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