Individual provider · Type 1 NPI
Nicole Jackson
Specialist · Middleburg, FL
NPI number
1699184689
Active
Practice location
3983 Thunder Heights Ln
Middleburg, FL 32068-7362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 103K00000X (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Middleburg
About NPI 1699184689
Nicole Jackson's National Provider Identifier is 1699184689, issued on Aug 5, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middleburg, FL. The record was last updated on Aug 5, 2014.