Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nisha Jackson PC

Organization Nurse Practitioner · NPI 1124499124

Nisha Jackson PC provides Nurse Practitioner services in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone: (541) 494-9355
Fax: (541) 210-8724
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 086006299N7 (OR)

Record details

NPI number1124499124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karissa Stults — Vp Of Billing And Contracting · (541) 930-8545
NPI enumeratedOctober 15, 2015
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address3265 Hillcrest Park Dr, Medford, OR 97504-7657

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