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Jackie Nickson, OTD, OTR/L
NPI 1356777411 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6664 Sinclair Dr
Horn Lake, MS 38637 - Phone
- (901) 230-4982
- Fax
- (662) 393-2673
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
225100000X
235Z00000X
224Z00000X
225200000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi