DANIELLE JACKSON APRN
NPI 1104349125
Nurse Practitioner - Family in Merrillville, IN

Q: What is Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1104349125. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Danielle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Jackson was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2017

8645 CONNECTICUT ST, MERRILLVILLE, IN 46410(219) 769-3500 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Danielle Jackson Aprn NPPES

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

DANIELLE JACKSON APRN (NPI 1104349125) is an individual family provider in Merrillville, Indiana, licensed in Illinois (209015748) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1104349125

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANIELLE JACKSONCredential: APRN

Location Address8645 CONNECTICUT STMerrillville, IN 46410-6222

Mailing Address18132 San Diego AveHomewood, IL 60430-1522

Phone(219) 769-3500

Sole ProprietorNo

Enumeration DateJuly 21, 2017

✔ NPI 1104349125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209015748

8645 CONNECTICUT ST, Merrillville, IN 46410

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Other Providers at the Same Location NPPES 3

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

MRS. CARRIE JO KAMP FNP

Nurse Practitioner (Family)

8645 CONNECTICUT ST
MERRILLVILLE, IN 46410

Lake County (219) 769-3500

PATRICIA VIOLA OLSON MS RNC WHNP

Nurse Practitioner (Women's Health)

8645 CONNECTICUT ST
MERRILLVILLE, IN 46410

Lake County (219) 769-3500

TARA KAUFMAN

Nurse Practitioner (Women's Health)

8645 CONNECTICUT ST
MERRILLVILLE, IN 46410

Lake County (219) 769-3500

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 Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1104349125. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Danielle Jackson located?

Danielle Jackson practices at 8645 Connecticut St, Merrillville, IN 46410. The listed phone number is (219) 769-3500.

What is Danielle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Danielle Jackson was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.