Dr Jackie D Nickson, OTD, OTR/L in Horn Lake, MS

Dr Jackie D Nickson, OTD, OTR/L is a Occupational Therapist based in Horn Lake, Mississippi. Dr Jackie D Nickson is licensed to practice in Mississippi (license number OT1986) and her current practice location is 6664 Sinclair Dr, Horn Lake, Mississippi. She can be reached at her office (for appointments etc.) via phone at (901) 230-4982.

NPI number for Dr Jackie D Nickson is 1356777411 and her current mailing address is 6664 Sinclair Dr, Horn Lake, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356777411.

Contact Information

	Dr Jackie D Nickson, OTD, OTR/L
	6664 Sinclair Dr, Horn Lake, MS 38637-2598
	(901) 230-4982
	(662) 393-2673

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jackie D Nickson
Gender	Female
Speciality	Occupational Therapist
Location	6664 Sinclair Dr, Horn Lake, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1356777411
Provider Enumeration Date: 09/20/2013
Last Update Date: 01/12/2014

Medical Identifiers

Medical identifiers for Dr Jackie D Nickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356777411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1986 (Mississippi)	Primary
225X00000X	Occupational Therapist	1986 (Mississippi)	Secondary
225100000X	Physical Therapist	(Mississippi)	Secondary
235Z00000X	Speech-language Pathologist	(Mississippi)	Secondary
224Z00000X	Occupational Therapy Assistant	(Mississippi)	Secondary
225200000X	Physical Therapy Assistant	(Mississippi)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jackie D Nickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jackie D Nickson, OTD, OTR/L 6664 Sinclair Dr, Horn Lake, MS 38637-2598 Ph: (901) 230-4982	Dr Jackie D Nickson, OTD, OTR/L 6664 Sinclair Dr, Horn Lake, MS 38637-2598 Ph: (901) 230-4982

Reviews and Comments

Occupational Therapist in Horn Lake, MS

Mrs. Taylor H Holden, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1751 Dancy Blvd, Ste 2, Horn Lake, MS 38637 Phone: 901-292-5313 Fax: 901-867-1603
Mr. Raul Suarez Jr., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6410 Collinwood Rd, Horn Lake, MS 38637 Phone: 432-703-0089
Tyshianna B Edwards, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637 Phone: 901-292-5313 Fax: 901-867-1603

Dr Jackie D Nickson, OTD, OTR/L - Occupational Therapist in Horn Lake, MS