Individual
NICOLE KIMBERLY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
525 LILLY RD NE STE 200, OLYMPIA, WA 98506
(360) 493-4510
(360) 493-7759
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OP60418108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OL60099734
—
WA
Enumeration date
02/21/2010
Last updated
06/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us