Nisha Jackson PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NISHA JACKSON PC

Practice address

1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636

Phone

(541) 930-8545

NPI assigned

Feb 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karissa Stults

Title

VP of Billing and Contracting

Phone

(541) 930-8545

Specialties & licenses 1

Addresses

Tax ID family

Nisha Jackson Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Nisha Jackson PC

  • Rural Health Clinic/Center
  • McMinnville, OR
  • NPI 1083566806
  NPD tax ID
• Nisha Jackson PC

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1164374989
  NPD tax ID
• Nisha Jackson PC

  • Rural Health Clinic/Center
  • Klamath Falls, OR
  • NPI 1477405280
  NPD tax ID
• Nisha Jackson PC

  • Rural Health Clinic/Center
  • North Bend, OR
  • NPI 1629920434
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha Marie Woods, MS, WHCNP

  • Obstetrics & Gynecology Physician
  • Medford, OR
  • NPI 1952326266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1629920442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COMMERCE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049744",
            "telephone_number": "541-930-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW GARDEN VALLEY BLVD STE 201",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711636",
            "telephone_number": "541-930-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA JACKSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "STULTS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "VP OF BILLING AND CONTRACTING",
        "authorized_official_telephone_number": "541-930-8545"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Allison Nichols, LPC
• Michael L. Nichols, DO
• Leah Niezwaag
• Lokanadha B Nimmagadda, MD
• Kaitlin Nirschl
• Naomi Nishikawa, PHARMD
• Wenying Niu
• Jenni Lynne Nix, M.D.
• Silas Niyonzima
• Jed Ryan Norman, DDS

• Rural Health Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.