NICOLE JACKSON
NPI 1124299680
Licensed Practical Nurse in Springfield, OH

Q: What is Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1124299680. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Q: What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since March 12, 2008

1830 SOUTHERN PKWY, SPRINGFIELD, OH 45506(937) 360-7925 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Jackson NPPES

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

NICOLE JACKSON (NPI 1124299680) is an individual licensed practical nurse in Springfield, Ohio, licensed in Ohio (122408) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1124299680

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNICOLE JACKSON

Location Address1830 SOUTHERN PKWYSpringfield, OH 45506-3115

Mailing Address1830 Southern PkwySpringfield, OH 45506-3115

Phone(937) 360-7925

Sole ProprietorYes

Enumeration DateMarch 12, 2008

✔ NPI 1124299680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · 122408

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1830 SOUTHERN PKWY, Springfield, OH 45506

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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 1124299680. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Nicole Jackson located?

Nicole Jackson practices at 1830 Southern Pkwy, Springfield, OH 45506. The listed phone number is (937) 360-7925.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.