Jacqueline Kay Nizamoff
Occupational Therapist - Hand
1715 Eagle Harbor Pkwy Ste A
Fleming Island
, Florida 32003-4324
Jacqueline Kay Nizamoff
Occupational Therapist - Hand
1715 Eagle Harbor Pkwy Ste A
Fleming Island
, Florida 32003-4324
(904) 396-1725
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Jacqueline Kay Nizamoff
- 11945 San Jose Blvd Ste 300
- Jacksonville, FL
- Zip : 32223-1627
- Phone : (904) 396-1725
Second Address
- Jacqueline Kay Nizamoff
- 1715 Eagle Harbor Pkwy Ste A
- Fleming Island, FL
- Zip : 32003-4324
- Fax : (904) 375-8627
- Phone : (904) 215-6122
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Is Jacqueline Kay Nizamoff a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 2660 | FL |
National Provider Identifier
| NPI | 1003942111 |
|---|---|
| Provider Name | Jacqueline Kay Nizamoff |
| First Address | Jacksonville, FL 32223-1627 |
| Second Address | Fleming Island, FL 32003-4324 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2007 |
| Last Update Date | 06/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.