Nicole Jackson

Individual Active
NPI 1972977825
Substance Use Disorder Rehabilitation Clinic/Center Smithtown, NY

NPI 1972977825 belongs to Nicole Jackson, a substance use disorder rehabilitation clinic/center with a practice location in Smithtown, NY. The NPI was issued on November 16, 2015, and the record was last updated in NPPES on November 16, 2015.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X 089076 (NY)

Practice location

11 Route 111
Smithtown, NY 11787-3753
Phone: (631) 920-8300

Local context

Active NPPES records list 36 providers with substance use disorder rehabilitation clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 12 of them within 10 miles.

The same primary taxonomy is listed by 239 in New York and 7,441 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Miss Nicole Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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