Amore Nichole Jackson, is a
Developmental Therapist based in Charlotte, North Carolina. Amore Nichole Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
6120 Brookshire Blvd Ste W, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(980) 251-5899.
NPI number for Amore Nichole Jackson is 1174178024 and her current mailing address is 1962 Hartford Dr, Gastonia, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174178024.
Healthcare Provider's Profile
| Full Name | Amore Nichole Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Developmental Therapist |
|---|
| Location | 6120 Brookshire Blvd Ste W, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174178024
- Provider Enumeration Date: 08/07/2019
- Last Update Date: 12/12/2023
Medical Identifiers
Medical identifiers for Amore Nichole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174178024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 183700000X | Pharmacy Technician | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
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. Amore Nichole Jackson 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 |
|---|
Amore Nichole Jackson,
1962 Hartford Dr,
Gastonia, NC 28052-6050
Ph: () - | Amore Nichole Jackson,
6120 Brookshire Blvd Ste W,
Charlotte, NC 28216-3300
Ph: (980) 251-5899 |
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