Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Jackson

Individual provider Licensed Practical Nurse · NPI 1124299680

Nicole Jackson is a Licensed Practical Nurse in Springfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2008

Practice location Address checks out

1830 Southern Pkwy
Springfield, OH 45506-3115
Phone: (937) 360-7925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 122408 (OH)

Record details

NPI number1124299680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2008
Last updated in NPPESMarch 12, 2008

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