Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Danielle Jackson, MS, ATC, CSCS

Individual provider Athletic Trainer · NPI 1255592754

Nicole Danielle Jackson, MS, ATC, CSCS is an Athletic Trainer in Lacey, Washington. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5300 Pacific Ave SE
Lacey, WA 98503-7500
Phone: (360) 438-4536
Fax: (360) 438-4568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1255592754
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , CSCS
Sole proprietorYes
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 18, 2008

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