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
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 1112172 (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.