Organization · Type 2 NPI
Nisha Jackson PC
Rural Health Clinic/Center · Roseburg, OR
NPI number
1629920442
Active
Practice location
1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Mailing address
2040 Commerce Dr
Medford, OR 97504-9744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
6 other providers at this address
- Alice Koech, A-GNP-CNurse Practitioner Roseburg, OR NPI 1669105656
- Benjamin Edward Jeppe, DC, AGPCNPNurse Practitioner Roseburg, OR NPI 1598702367
- Charmaine Monique Lachapelle, FNP-CFamily Nurse Practitioner Roseburg, OR NPI 1417884388
- Eve Marie Traill, PA-CPhysician Assistant Roseburg, OR NPI 1356331060
- Mark Pequignot, DNP FNPFamily Nurse Practitioner Roseburg, OR NPI 1770272148
- Maureen Renee Reynaga, FNPFamily Nurse Practitioner Roseburg, OR NPI 1023952074
Other rural health clinic/center providers in Roseburg
- Umpqua Health Newton Creek, LLCRural Health Clinic/Center Roseburg, OR NPI 1174066278
- Icco, LLCRural Health Clinic/Center Roseburg, OR NPI 1194390385
- Centennial Medical Group East, LLCRural Health Clinic/Center Roseburg, OR NPI 1235688805
- Icco, LLCRural Health Clinic/Center Roseburg, OR NPI 1528641891
- Umpqua Health - Harvard, LLCRural Health Clinic/Center Roseburg, OR NPI 1659519171
- Centennial Medical Group East, LLCRural Health Clinic/Center Roseburg, OR NPI 1821366071
About NPI 1629920442
Nisha Jackson PC's National Provider Identifier is 1629920442, issued on Feb 12, 2026. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Roseburg, OR. The record was last updated on Jul 23, 2026.