MS. JULIE A JACKSON FNP NPI 1922492271

NPI Information

NPI: 1922492271
Provider Name: MS. JULIE A JACKSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
1 MEMORIAL DR
ALTON, IL
ZIP 62002
Phone: (618) 463-7240
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MS. Julie A Jackson, FNP is a family nurse practitioner in Alton, IL with 10 years of experience. MS. Julie A Jackson, FNP NPI is 1922492271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEMORIAL DR
ALTON, IL
ZIP 62002-722
Phone: (618) 463-7240

The NPI 1922492271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 4/30/2021.

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
1	363LF0000X	Nurse Practitioner	Family	209012810	ILLINOIS	Yes
2	363LF0000X	Nurse Practitioner	Family	2015004290	MISSOURI	No

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: 11/14/2023

NPI Synchronization or Removal

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