Organization · Type 2 NPI

Nisha Jackson PC

Nurse Practitioner · Medford, OR

NPI number 1124499124 Active

Practice location

3265 Hillcrest Park Dr
Medford, OR 97504-7657

Fax (541) 210-8724

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X086006299N7 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124499124

Nisha Jackson PC's National Provider Identifier is 1124499124, issued on Oct 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Jul 31, 2026.