Nisha Jackson Inc.

LBN: Nisha Jackson Inc.
Nisha Jackson Inc. is an health care organization with primary practice located at 3265 Hillcrest Park Dr , Medford OR 97504-7657. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as the primary health care specialty. Nisha Jackson Inc. can be contacted via phone (541) 494-9355, or through Jackson, Nisha Marie via phone (541) 494-9355.

Contact Information

Primary practice address
3265 Hillcrest Park Dr Medford OR 97504-7657
Phone: (541) 494-9355
Fax: (541) 210-8724
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Nisha Marie Nurse Practitioner (NP)
Phone: (541) 494-9355

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 086006299N7 Oregon

Profile Details

NPI number 1124499124
LBN Legal business name Nisha Jackson Inc.
DBA Doing business as
Authorized official Jackson, Nisha Marie Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2015
Last updated Apr 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124499124 NPPES
Oregon MEDICAID 012158

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