DR. ELLANIKOLE JACKSON DNP NPI 1932676194

NPI Information

  • NPI: 1932676194
  • Provider Name: DR. ELLANIKOLE JACKSON, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11268 HIGHWAY 57
    COUNCE, TN
    ZIP 38326
  • Phone: (731) 438-3456

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NPI Details

DR. Ellanikole Jackson, DNP is a family nurse practitioner in Counce, TN with 8 years of experience. DR. Ellanikole Jackson, DNP NPI is 1932676194. 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:

11268 HIGHWAY 57
COUNCE, TN
ZIP 38326-802
Phone: (731) 438-3456

The NPI 1932676194 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 10/25/2018 and was last updated on 7/24/2024.

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
1363LF0000XNurse PractitionerFamily24869TENNESSEEYes

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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