RACQUEL JACKSON PMHNP-BC NPI 1356258800

NPI Information

  • NPI: 1356258800
  • Provider Name: RACQUEL JACKSON, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 5430 POOLBEG ST
    CANAL WINCHESTER, OH
    ZIP 43110
  • Phone: (614) 216-4778

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NPI Details

Racquel Jackson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Canal Winchester, OH. Racquel Jackson, PMHNP-BC NPI is 1356258800. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5430 POOLBEG ST
CANAL WINCHESTER, OH
ZIP 43110-119
Phone: (614) 216-4778

The enumeration date for this NPI number is 8/27/2026 and was last updated on 8/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health0042612OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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