Nicole Jackson, - Licensed Practical Nurse in Springfield, OH

Nicole Jackson, is a Licensed Practical Nurse based in Springfield, Ohio. Nicole Jackson is licensed to practice in Ohio (license number 122408) and her current practice location is 1830 Southern Pkwy, Springfield, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 360-7925.

NPI number for Nicole Jackson is 1124299680 and her current mailing address is 1830 Southern Pkwy, Springfield, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124299680.

Contact Information

Nicole Jackson,
1830 Southern Pkwy,
Springfield, OH 45506-3115
(937) 360-7925
Not Available



Provider's Profile

Full NameNicole Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location1830 Southern Pkwy, Springfield, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124299680
  • Provider Enumeration Date: 03/12/2008
  • Last Update Date: 03/12/2008

Medical Identifiers

Medical identifiers for Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124299680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 122408 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Jackson,
1830 Southern Pkwy,
Springfield, OH 45506-3115

Ph: () -
Nicole Jackson,
1830 Southern Pkwy,
Springfield, OH 45506-3115

Ph: (937) 360-7925

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Springfield, OH

Mrs. Jessica Dawn Gullette, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 852 E Mccreight Ave, Springfield, OH 45503
Phone: 937-629-3771    
Miss Tina Gayle Etayem, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1736 Hillside Ave, Springfield, OH 45503
Phone: 937-831-3874    
Martha I Clonch,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2317 E Home Rd, Springfield, OH 45503
Phone: 937-390-8060    
Melissa Grow,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 287 E. Leffel Lane, Springfield, OH 45505
Phone: 937-360-1764    
Rollin Louis Brossman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3375 Columbus Ave Apt D, Springfield, OH 45503
Phone: 937-360-2003    
Kelly Lynn Ogg,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1421 Parker Ct, Springfield, OH 45504
Phone: 513-941-4999    Fax: 513-694-0168
Brooklyn Ehling,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 474 N Yellow Springs St, Springfield, OH 45504
Phone: 937-399-9500    

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