Nicholas Jackson is a Specialist based in Moorhead, MN. Nicholas Jackson practices in Moorhead, MN. The NPI Number for Nicholas Jackson is 1023720802 and holds a License No. (Minnesota).
The current practice location address for Nicholas Jackson is 1505 30Th Ave S, Moorhead, MN and can be reached out via phone at 218-287-4338.
Location: 1505 30Th Ave S, Moorhead, MN, 56560-5149
Provider Profile Details
NPI Number
1023720802
Provider Name
Nicholas Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1505 30Th Ave S, Moorhead, MN, 56560-5149
Phone Number
218-287-4338
Fax Number
Provider Enumeration Date
12/23/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1505 30Th Ave S
City
State
Zip
56560-5149
Phone Number
218-287-4338
Fax Number
Provider Business Mailing Address Details
Address
1505 30Th Ave S
City
State
Zip
56560-5149
Phone Number
218-287-4338
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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