Individual provider · Type 1 NPI

Nicole Jackson

Case Management Registered Nurse · Houston, TX

NPI number 1639909252 Active

Practice location

20405 State Highway 249 Ste 325
Houston, TX 77070-2893

Mailing address

PO Box 211699
Eagan, MN 55121-3699

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X1112172 (TX)

Case Management Registered Nurse: Definition to come...

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About NPI 1639909252

Nicole Jackson's National Provider Identifier is 1639909252, issued on Aug 7, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Houston, TX. The record was last updated on Sep 11, 2024.