Individual
NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCLINICAL THERAPIST
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(817) 217-9825
Mailing address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(817) 217-9825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500020205
DC
163WC0400X
Case Management Registered Nurse
500020205
DC
364S00000X
Clinical Nurse Specialist
500020205
DC
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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