What is Nicole Jackson's NPI number?

Nicole Jackson's National Provider Identifier (NPI) is 1902434780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Jackson's specialty?

Nicole Jackson is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Nicole Jackson located?

Nicole Jackson's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.

What is Nicole Jackson's phone number?

The practice phone number listed in the NPPES registry for Nicole Jackson is (800) 590-2160.

Is Nicole Jackson's NPI active?

Yes — Nicole Jackson's NPI (1902434780) is active in the NPPES registry as of the last update on 2026-06-07.

IndividualActive

Nicole Jackson, MD

NPI 1902434780 · Pediatric Critical Care Medicine Physician · Philadelphia, PA

Nicole Jackson, MD is a Pediatric Critical Care Medicine Physician provider in Philadelphia, PA (NPI 1902434780).

Provider details

NPI number: 1902434780
Entity type: Individual
Primary specialty: Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 01091554A (IN)

Specialties & taxonomies

Pediatric Critical Care Medicine PhysicianPrimary2080P0203XLicense MD494588 (PA)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 01091554A (IN)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care
Pediatric Critical Care Medicine Physician2080P0203XLicense 11022739A (IN)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3401 Civic Center Blvd

Philadelphia, PA 19104-4319

Phone: (800) 590-2160

Street-level locationGet directions

More PA providers

Mailing address

Po Box 778912

Chicago, IL 60677-8912

Additional practice locations (1)

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 948-2700
Fax: (317) 948-2959

Enumerated: 2020-03-29
Last updated: 2026-06-07
Certified: 2026-06-07

Frequently asked questions

What is Nicole Jackson's NPI number?: Nicole Jackson's National Provider Identifier (NPI) is 1902434780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Nicole Jackson's specialty?: Nicole Jackson is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Nicole Jackson located?: Nicole Jackson's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
What is Nicole Jackson's phone number?: The practice phone number listed in the NPPES registry for Nicole Jackson is (800) 590-2160.
Is Nicole Jackson's NPI active?: Yes — Nicole Jackson's NPI (1902434780) is active in the NPPES registry as of the last update on 2026-06-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.