Individual provider · Type 1 NPI
Nicole Jackson
Psychiatric/Mental Health Nurse Practitioner · Columbus, OH
NPI number
1043753403
Active
Practice location
4646 Hilton Corporate Dr
Columbus, OH 43232-4147
Fax (614) 866-8580
Mailing address
8483 Torwoodlee Ct # 8483
Dublin, OH 43017-9739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 020277 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 020277 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1043753403
Nicole Jackson's National Provider Identifier is 1043753403, issued on Dec 2, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, OH. The record was last updated on May 30, 2025.