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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033995311

Nicolette Gisele Jackson is a Student in an Organized Health Care Education/Training Program in Campbell, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

251 Llewellyn Ave
Campbell, CA 95008-1940
Phone: (408) 379-9085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 652 Forest Ave, Palo Alto, CA 94301-2622 — (650) 323-1401

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 154244 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1033995311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address1922 The Alameda Ste 316, San Jose, CA 95126-1461

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