Individual
DR. NICOLE R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
908 JEFFERSON ST BLDG 2ND, SEATTLE, WA 98104-2433
(206) 731-3505
(206) 731-8555
Mailing address
325 9TH AVE # 359792, SEATTLE, WA 98104-2499
(206) 731-3505
(206) 731-8555
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD2019-0291
NM
Other
Enumeration date
04/15/2014
Last updated
04/21/2023
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