location
search-icon
person
Miss Nicole Jackson
Substance Use Disorder Rehabilitation Clinic/Center in Smithtown, New York
NPI 1972977825

Nicole Jackson is a Substance Use Disorder Rehabilitation Clinic/Center based in Smithtown, NY and is specialized in Rehabilitation, Substance Use Disorder. Nicole Jackson practices in Smithtown, NY. The NPI Number for Nicole Jackson is 1972977825 and holds a License No. 089076 (New York).

The current practice location address for Nicole Jackson is 11 Route 111, Smithtown, NY and can be reached out via phone at 631-920-8300.

Location: 11 Route 111, Smithtown, NY, 11787-3753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972977825
Provider Name
Nicole Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 Route 111, Smithtown, NY, 11787-3753
Phone Number
631-920-8300
Fax Number
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3753
Phone Number
631-920-8300
Fax Number
person
Provider Business Mailing Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3753
Phone Number
631-920-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
089076 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.