Active NPIIndividual providerSole proprietor

Nicole Jackson

Student in an Organized Health Care Education/Training Program in Bristol, Rhode Island

NPI Number1073481636
Practice location
51 Oliver St, Bristol, RI 02809-5927
Fax
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Last updated
October 27, 2025

Nicole Jackson is a Student in an Organized Health Care Education/Training Program based in Bristol, RI. Nicole Jackson practices in Bristol, RI. The NPI Number for Nicole Jackson is 1073481636. The current practice location address for Nicole Jackson is 51 Oliver St, Bristol, RI 02809-5927 and can be reached out via phone at 515-537-5317.

Provider Profile Details

NPI Number
1073481636
Provider Name
Nicole Jackson
Provider Entity Type
Individual
Gender
Female
Address
51 Oliver St, Bristol, RI 02809-5927
Phone Number
515-537-5317
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2025
Last Update Date
October 27, 2025
Certification Date
October 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Oliver St
Bristol, RI 02809-5927
Zip
02809-5927
Phone Number
515-537-5317
Bristol, RI 02809Get directions →

Provider Business Mailing Address Details

Address
51 Oliver St Apt 2
Bristol, RI 02809-5927
City
Bristol
State
RI
Zip
02809-5927

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Jackson?

The NPI number of Nicole Jackson is 1073481636. It was assigned on October 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Nicole Jackson?

Nicole Jackson is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Nicole Jackson practice?

The practice location is 51 Oliver St, Bristol, RI 02809-5927. The office can be reached at 515-537-5317 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073481636 directly on the NPPES registry website.

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