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

MS. Nicole Marie Jackson, CMT

Individual provider Health Educator · NPI 1124614300

MS. Nicole Marie Jackson, CMT is a Health Educator in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4728 Monument Dr
Sacramento, CA 95842-3612
Phone: (916) 420-4306
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 80148 (CA)
Health Educator Taxonomy 174H00000X (CA)

Record details

NPI number1124614300
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedDecember 12, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020

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