Nicole Jackson Valid NPI

Individual provider · Registered Nurse · Versailles, KY

NPI

1457208225

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

12709516-3102 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2026-03-11

Last updated

2026-03-11