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Active NPI 1184988438 Individual Practitioner Female Practitioner

Nichole Rose Jackson , NP-C

Nurse Practitioner • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Nichole Jackson, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Fargo, ND. Practice services are available at 3175 SIENNA DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3175 Sienna Dr S

Fargo, ND 581048910

Telephone 7012053088
Fax 7013357808
Associated Practice Facility / Clinic
🏢 Smith Sisters Inc Facility NPI 1932453404

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
210 Specialists

Practicing in Fargo, ND (468 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ND R31008

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Spencer Berry , MD

Family Medicine

NPI 1215954219

Doctor of Medicine (M.D.)

Ashli Boehm , FNP

Nurse Practitioner - Primary Care

NPI 1467059048

Family Nurse Practitioner

Abby Sovde , APRN

Nurse Practitioner

NPI 1871480608

Advanced Practice Registered Nurse

Dr. Mckenzy Cook , DNP

Family Medicine

NPI 1952080525

Doctor of Nursing Practice

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2016

Registered at 3175 SIENNA DR S, FARGO, ND 581048910 (Tel: 7012053088)

📍
Updated Business Mailing Address September 23, 2016

Registered at 530 3RD ST E, WEST FARGO, ND 580782711 (Tel: 7012053088)

👤
Provider Name / Credentials Updated September 23, 2016

Recorded as NICHOLE JACKSON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Nurse Practitioner (License #R31008 in ND)

🟢
Initial NPI Registration & Enumeration July 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184988438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2012
Last Update: September 23, 2016
Sole Proprietor: No

Mailing Address

530 3rd St E

West Fargo, ND 580782711

Phone: 7012053088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.