Provider Demographics
NPI:1487459772
Name:JACKSON, ERIKA KRISTEN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:KRISTEN
Last Name:JACKSON
Suffix:
Gender:X
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3828
Mailing Address - Country:US
Mailing Address - Phone:614-565-9953
Mailing Address - Fax:
Practice Address - Street 1:354 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3828
Practice Address - Country:US
Practice Address - Phone:614-565-9953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty