Individual provider · Type 1 NPI
Nicole R. Jackson, CNP, ACNP-BC
Acute Care Nurse Practitioner · Dayton, OH
NPI number
1255679940
Active
Practice location
30 E Apple St
Dayton, OH 45409-2939
Fax (937) 223-9811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | COA.13850.NP (OH) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1255679940
Nicole R. Jackson, CNP, ACNP-BC's National Provider Identifier is 1255679940, issued on Jan 30, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dayton, OH. The record was last updated on Apr 20, 2016.