Search › Washington › 2255A2300X
Nicole Jackson, MS, ATC, CSCS
NPI 1255592754 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5300 Pacific Ave Se
Lacey, WA 98503 - Phone
- (360) 438-4536
- Fax
- (360) 438-4568
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Female
- Record last updated
- 2008-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington