Nicholas Jackson
Nicholas Jackson is an Athletic Trainer in Adrian, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1325 Williams StAdrian, MI 49221-2563
Phone: (517) 265-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1306476619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 26, 2020 |
| Last updated in NPPES | January 26, 2020 |
| Certification date | January 26, 2020 |
| Mailing address | 1612 W White St, Champaign, IL 61821-3018 |
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Leah J Gomez
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Daniel Malcolm
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