Individual provider · Type 1 NPI
Nicole Jackson
Student in an Organized Health Care Education/Training Program · Bristol, RI
NPI number
1073481636
Active
Practice location
51 Oliver St
Bristol, RI 02809-5927
Mailing address
51 Oliver St Apt 2
Bristol, RI 02809-5927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1073481636
Nicole Jackson's National Provider Identifier is 1073481636, issued on Oct 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bristol, RI. The record was last updated on Oct 27, 2025.