NICOLE JACKSON
NPI 1073481636
Student in an Organized Health Care Education/Training Program in Bristol, RI

Active since October 27, 2025
51 OLIVER ST, BRISTOL, RI 02809(515) 537-5317 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JACKSON (NPI 1073481636) is an individual student in an organized health care education/training program in Bristol, Rhode Island and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1073481636
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE JACKSON
Location Address51 OLIVER STBristol, RI 02809-5927
Mailing Address51 Oliver St Apt 2Bristol, RI 02809-5927
Sole ProprietorYes
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1073481636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
51 OLIVER ST, Bristol, RI 02809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1073481636. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Nicole Jackson located?

Nicole Jackson practices at 51 Oliver St, Bristol, RI 02809. The listed phone number is (515) 537-5317.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.