Ms Jalesa Denise Nickson, EDS is a
Counselor - School based in Raleigh, Mississippi. Ms Jalesa Denise Nickson is licensed to practice in Mississippi (license number 216761) and her current practice location is
108 Scr 581b, Raleigh, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 577-2599.
NPI number for Ms Jalesa Denise Nickson is 1205574795 and her current mailing address is 108 Scr 581b, Raleigh, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205574795.
Healthcare Provider's Profile
| Full Name | Ms Jalesa Denise Nickson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - School |
|---|
| Location | 108 Scr 581b, Raleigh, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205574795
- Provider Enumeration Date: 05/24/2022
- Last Update Date: 05/24/2022
Medical Identifiers
Medical identifiers for Ms Jalesa Denise Nickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205574795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 216761 (Mississippi) | Secondary |
| 101YS0200X | Counselor - School | 216761 (Mississippi) | 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. Ms Jalesa Denise 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 |
|---|
Ms Jalesa Denise Nickson, EDS
108 Scr 581b,
Raleigh, MS 39153-5438
Ph: (601) 577-2599 | Ms Jalesa Denise Nickson, EDS
108 Scr 581b,
Raleigh, MS 39153-5438
Ph: (601) 577-2599 |
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