Individual
MS. NICOLA NATASHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5419
(859) 344-1900
(859) 344-4632
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1900
(859) 344-4632
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
58883
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
07/01/2024
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