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MRS. JACQUELYN DENISE JACKSON RN, BSN, MSN-PH, AN
NPI 1053080622
Registered Nurse - Case Management in Ft Riley, KS

Active since September 08, 2021
650 HUEBNER RD, FT RILEY, KS 66442(785) 239-7727 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2023, Sep 8, 2021 (2 updates tracked since 2021).

About Mrs. Jacquelyn Denise Jackson Rn, Bsn, Msn-ph, An NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELYN DENISE JACKSON RN, BSN, MSN-PH, AN (NPI 1053080622) is an individual case management provider in Ft Riley, Kansas, licensed in Arkansas (R078719) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053080622
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMRS. JACQUELYN DENISE JACKSONCredential: RN, BSN, MSN-PH, AN
Location Address650 HUEBNER RDFt Riley, KS 66442-4030
Mailing Address247 Ridge Oak DrRed Oak, TX 75154-5031 · (469) 350-3557
Phone(785) 239-7727
Sole ProprietorYes
Enumeration DateSeptember 8, 2021
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1053080622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in AR · R078719
Also ListedRegistered NurseTaxonomy 163W00000X · License R078719 (AR)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License R078719 (AR)
650 HUEBNER RD, Ft Riley, KS 66442
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNIE MARIE MOSIER ESLIT O.D.
Optometrist
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 240-7335
KATHRYN WESSEL PTA
Physical Therapy Assistant
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7964
HENRY COLLETT
Physician Assistant
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (362) 778-5239
PATRICIA A KEEFE M.D.
Surgery
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7151
TERESSA D CHANDLER FNP-C
Nurse Practitioner (Family)
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7445
STEVEN ROBLES PSYD
Psychologist
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-3627
KELLY PALMER MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-0568
CATHRINE JONES RD, LD, IBCLC
Dietitian, Registered
650 HUEBNER RD
FORT RILEY, KS 66442
Riley County (785) 239-7667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Jackson's NPI number?

The NPI number for Jacquelyn Jackson is 1053080622. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Jacquelyn Jackson located?

Jacquelyn Jackson practices at 650 Huebner Rd, Ft Riley, KS 66442. The listed phone number is (785) 239-7727.

What is Jacquelyn Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Jackson was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.