National Provider Identifier Database

NICOLE JACKSON, RNCLINICAL THERAPIST – NPI #1558256214
Registered Nurse

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.?s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.


Contact Information

NICOLE JACKSON, RNCLINICAL THERAPIST
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC20020-5732
Phone: 817-217-9825
Fax:
Website:
Specialty Taxonomy Code
* Registered Nurse 163W00000X
Case Management 163WC0400X
Clinical Nurse Specialist 364S00000X

* Indicates primary specialty

NPI Profile & details for NICOLE JACKSON

NPI Number 1558256214
Credentials RNCLINICAL THERAPIST
Entity Individual
Enumeration date 06/11/2025
Last updated 06/11/2025 - About 12 months ago
Sole proprietor1 Yes
Identifiers
  • DC License #: 500020205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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