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Contact Information

NICHOLAS JACKSON, BA
2500 NORTH STATE ST.
PREVENTIVE MEDICINE DEPARTMENT
JACKSON, MS39216
 Phone: 601-815-8982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for NICHOLAS JACKSON · (Male)

NPI Number 1356954440
Status Active
Credentials BA
Entity Individual
Enumeration date 08/28/2020
Last updated 08/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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