Nisha Jackson PC

Nurse Practitioner · Medford, OR

Organization Active NPI

NPI number 1124499124

Practice location

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone
(541) 494-9355
Fax
(541) 210-8724

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NPI record

NPI
1124499124
Entity type
Organization (Type 2)
Enumeration date
October 15, 2015
Last updated
July 31, 2026
Certified
July 31, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 086006299N7 OR

Authorized official

Name
Karissa Stults
Title
VP of Billing and Contracting
Phone
(541) 930-8545

About Nisha Jackson PC

Nisha Jackson PC is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 3265 Hillcrest Park Dr, Medford, OR 97504-7657. The NPI number 1124499124 was assigned on October 15, 2015 and the record was last updated on July 31, 2026.

Nisha Jackson PC lists a license in the registry: #086006299N7 (OR) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Karissa Stults, VP of Billing and Contracting.

Frequently asked questions

What is the NPI number of Nisha Jackson PC?

The NPI number is 1124499124.

What is the phone number of Nisha Jackson PC?

The phone number listed for the practice location is (541) 494-9355.

Where is Nisha Jackson PC located?

3265 Hillcrest Park Dr, Medford, OR 97504-7657.

What is the taxonomy code for Nisha Jackson PC?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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