Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackie D Nickson, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1356777411

Dr. Jackie D Nickson, OTD, OTR/L is an Occupational Therapist in Horn Lake, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2013
Specialties on file
6
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6664 Sinclair Dr
Horn Lake, MS 38637-2598
Phone: (901) 230-4982
Fax: (662) 393-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1986 (MS)
Occupational Therapist Taxonomy 225X00000X · Licence 1986 (MS)
Physical Therapist Taxonomy 225100000X (MS)
Speech-Language Pathologist Taxonomy 235Z00000X (MS)
Occupational Therapy Assistant Taxonomy 224Z00000X (MS)
Physical Therapy Assistant Taxonomy 225200000X (MS)

Record details

NPI number1356777411
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorYes
NPI enumeratedSeptember 20, 2013
Last updated in NPPESJanuary 12, 2014

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