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Organization
NISHA JACKSON COMPANIES, LLC
Active
Organization
NISHA JACKSON COMPANIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA JACKSON (OWNER)
(541) 494-9355
Entity
Organization
Contact information
Practice address
3265 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 494-9355
Mailing address
3265 HILLCREST PARK DR, MEDFORD, OR 97504-7657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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