Individual
MRS. NIKITA YVETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
2216 AUDUBON TRL, MIDDLETOWN, DE 19709-9844
(302) 450-8201
Mailing address
2216 AUDUBON TRL, MIDDLETOWN, DE 19709-9844
(302) 450-8201
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1355010
DE
Other
Enumeration date
03/01/2024
Last updated
09/19/2024
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