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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE JACKSON, RNCLINICAL THERAPIST

Active Sole Proprietor

NICOLE JACKSON, RNCLINICAL THERAPIST is a Registered Nurse healthcare provider located in WASHINGTON, Washington D.C.. NPI 1558256214 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · WASHINGTON, DC

Registration Details

NPI Number
1558256214
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2025 (1.1490555721032 yrs)
Last Updated
Jun 11, 2025
Licenses
500020205 (DC)
500020205 (DC)
500020205 (DC)
Sole Proprietor
Yes

Practice Information

Address
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC, 200205732
Browse DC providers · Browse ZIP 20020
Phone
8172179825
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Clinical Nurse Specialist
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in WASHINGTON, DC

Name Credential NPI
EDEN C WILLIAMSON REGISTERED NURSE 1235124405
MS. CLARISSA ELIZABETH ERNEST RN, MPA, MDIV 1245210939
SUSAN M KLOSS LANEN MSN, RN, GNP-BC 1841240587
MS. NANCY LOU TWITCHEL APRN,BC,FNP, MSN 1740229640
KRISTEN A NAWN CRNA 1922033182
VERONICA A GUTCHELL NP 1720184443
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.