| NPI | 1366610271 |
|---|---|
| Doing Business As | NICOLE S JACKSON, FAMILY NP, PC |
| Entity Type | Organization |
| Authorized Contact | NICOLE S JACKSON Fnp Owner Of Pc 914-739-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-27 |