Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE KIMBERLY JACKSON, DO
ActiveThoracic Surgery (Cardiothoracic Vascular) · OLYMPIA, WA
Registration Details
- NPI Number
- 1508188343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2010 (16.163045298601 yrs)
- Last Updated
- Jun 12, 2018
- License
-
OP60418108 (WA)
Practice Information
- Address
-
525 LILLY RD NE STE 200OLYMPIA, WA, 98506Browse WA providers · Browse ZIP 98506
- Phone
- 3604934510
- Fax
- 3604937759
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in OLYMPIA, WA
| Name | Credential | NPI |
|---|---|---|
| LUIS F SANTAMARINA | M.D. | 1962452664 |
| RONALD R QUINTON | M.D. | 1992756852 |
| JENNIFER M ABELSON | MD | 1497989057 |
| ALEXANDER E ABDULLAYEV | MD | 1538693015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.