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Contact Information

NANCY JACKSON
824 S DIAMOND ST
NAMPA, ID83686-5960
 Phone: 208-606-0396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for NANCY JACKSON · (Female)

NPI Number 1255192837
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2024
Last updated 01/31/2024 - About 2 years ago
Sole proprietor 1 No
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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