Nicholas Jackson

Athletic Trainer · Adrian, MI

Individual Active NPI

NPI number 1306476619

Practice location

1325 Williams St
Adrian, MI 49221-2563
Phone
(517) 265-5161

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NPI record

NPI
1306476619
Entity type
Individual (Type 1)
Enumeration date
January 26, 2020
Last updated
January 26, 2020
Certified
January 26, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

1612 W White St
Champaign, IL 61821-3018

About Nicholas Jackson

Nicholas Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1325 Williams St, Adrian, MI 49221-2563. The NPI number 1306476619 was assigned on January 26, 2020 and the record was last updated on January 26, 2020.

Frequently asked questions

What is the NPI number of Nicholas Jackson?

The NPI number is 1306476619.

What is the phone number of Nicholas Jackson?

The phone number listed for the practice location is (517) 265-5161.

Where is Nicholas Jackson located?

1325 Williams St, Adrian, MI 49221-2563.

What is the taxonomy code for Nicholas Jackson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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