Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALI NICOLE JACKSON
ActiveALI NICOLE JACKSON is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAKE OSWEGO, Oregon. NPI 1821953589 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1821953589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2025 (0.68894783737798 yrs)
- Last Updated
- Dec 16, 2025
- License
-
200340761RN (OR)
Practice Information
- Address
-
2800 WEMBLEY PARK RDLAKE OSWEGO, OR, 970342632Browse OR providers · Browse ZIP 97034
- Phone
- 5037456568
- Fax
- 5037346568
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.