Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE D NICKSON, OTD, OTR/L
Active Sole ProprietorDR. JACKIE D NICKSON, OTD, OTR/L is a Occupational Therapist healthcare provider located in HORN LAKE, Mississippi. NPI 1356777411 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HORN LAKE, MS
Registration Details
- NPI Number
- 1356777411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2013 (12.861257988384 yrs)
- Last Updated
- Jan 12, 2014
- Licenses
-
OT1986 (MS)1986 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6664 SINCLAIR DRHORN LAKE, MS, 386372598Browse MS providers · Browse ZIP 38637
- Phone
- 9012304982
- Fax
- 6623932673
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapist Providers in HORN LAKE, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. TAYLOR H HOLDEN | OT | 1013663475 |
| MR. RAUL SUAREZ JR. | OTR/L | 1386379113 |
| TYSHIANNA B EDWARDS | OTD | 1841926086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.