DR. JACKIE D NICKSON OTD, OTR/L
NPI 1356777411
Occupational Therapist in Horn Lake, MS
About Dr. Jackie D Nickson Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKIE D NICKSON OTD, OTR/L (NPI 1356777411) is an individual occupational therapist in Horn Lake, Mississippi, licensed in Mississippi (OT1986) and active in the NPI registry since September 2013.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 2
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackie Nickson's NPI number?
The NPI number for Jackie Nickson is 1356777411. It was assigned to this individual provider in the NPPES registry on September 20, 2013.
Where is Jackie Nickson located?
Jackie Nickson practices at 6664 Sinclair Dr, Horn Lake, MS 38637. The listed phone number is (901) 230-4982.
What is Jackie Nickson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Jackie Nickson was last updated on January 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.