NICOLE JACKSON NPI 1639909252

NPI Information

  • NPI: 1639909252
  • Provider Name: NICOLE JACKSON
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 20405 STATE HIGHWAY 249 STE 325
    HOUSTON, TX
    ZIP 77070
  • Phone: (346) 482-2607

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NPI Details

Nicole Jackson is a case management registered nurse in Houston, TX. Nicole Jackson NPI is 1639909252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20405 STATE HIGHWAY 249 STE 325
HOUSTON, TX
ZIP 77070-893
Phone: (346) 482-2607

The enumeration date for this NPI number is 8/7/2024 and was last updated on 9/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management1112172TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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