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

Nicole Kimberly Jackson, DO

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1508188343

Nicole Kimberly Jackson, DO is a Thoracic Surgery in Olympia, Washington. Qualified in 2009, 17 years ago. Practices with Peacehealth, a 290-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

525 Lilly Rd NE Ste 200
Olympia, WA 98506
Phone: (360) 493-4510
Fax: (360) 493-7759
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence OP60418108 (WA)

Record details

NPI number1508188343
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 21, 2010
Last updated in NPPESJune 12, 2018
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Peacehealth — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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