Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole R Jackson, CNP, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1255679940

Mrs. Nicole R Jackson, CNP, ACNP-BC is a Nurse Practitioner in Dayton, Ohio. Graduated from University of Cincinnati College of Medicine in 2012, 14 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2013
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

30 E Apple St
Dayton, OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 223-9811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence COA.13850.NP (OH)

Record details

NPI number1255679940
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP , ACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 30, 2013
Last updated in NPPESApril 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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