Individual
JACKSON NIMLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002-1849
(202) 489-0615
Mailing address
4606 LEE ST NE, WASHINGTON, DC 20019-3944
(202) 421-0294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/16/2025
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