NISHA JACKSON INC. – Rural Health Clinic/Center, NPI 1164374989

NISHA JACKSON INC. is a healthcare provider. based in Medford, Oregon. specializing in Rural Health Clinic/Center. The NPI Number for NISHA JACKSON INC. is 1164374989

Main info

Organization
Name
NISHA JACKSON INC.
NPI
1164374989
Phone
(541) 930-8545
Address
2040 COMMERCE DR
Authorized Official
KARISSA STULTS VP OF BILLING AND CONTRACTING
Enumeration Date
12 February 2026
Last Update Date
12 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for NISHA JACKSON INC.

  • 2040 COMMERCE DR

    MEDFORD, OR 975049744

    Phone: (541) 930-8545

    Type: Mailing

  • 1935 E 19TH ST

    THE DALLES, OR 970583392

    Phone: (541) 223-9018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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Reviews

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Frequently asked questions

What number should I use to identify NISHA JACKSON INC. for billing?
Administrative and clinical systems typically use NPI 1164374989 for NISHA JACKSON INC..
Is NISHA JACKSON INC. currently accepting referrals based on NPI status?
Registry metadata lists NISHA JACKSON INC. as active.
What type of care does NISHA JACKSON INC. provide?
NISHA JACKSON INC.'s profile centers on Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NISHA JACKSON INC.?
NISHA JACKSON INC. is associated with Medford, Oregon in the same public data insurers reference.
Can I export NISHA JACKSON INC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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