MRS. NUSHA SYLAJ JACKSON FNP
NPI 1104462738
Nurse Practitioner - Family in Chicago, IL

Q: What is Nusha Jackson's NPI number?

The NPI number for Nusha Jackson is 1104462738. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Nusha 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 Nusha Jackson was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 19, 2019

1656 N. WELLS, CHICAGO, IL 60614(312) 643-1333 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2020, Nov 19, 2019 (2 updates tracked since 2019).

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About Mrs. Nusha Sylaj Jackson Fnp NPPES

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

MRS. NUSHA SYLAJ JACKSON FNP (NPI 1104462738) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.021965) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1104462738

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NUSHA SYLAJ JACKSONCredential: FNP

Location Address1656 N. WELLSChicago, IL 60614-3224

Mailing Address939 W Madison St Apt 307Chicago, IL 60607-2657 · (248) 770-5168

Phone(312) 643-1333

Sole ProprietorNo

Enumeration DateNovember 19, 2019

Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration

NPPES CertifiedAugust 4, 2020

✔ NPI 1104462738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.021965

Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 041434377 (IL)

1656 N. WELLS, Chicago, IL 60614

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Other Providers at the Same Location NPPES

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

MAI SCHERER NP

Nurse Practitioner

1656 N. WELLS
CHICAGO, IL 60614

Cook County (312) 643-1333

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 Nusha Jackson's NPI number?

The NPI number for Nusha Jackson is 1104462738. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Nusha Jackson located?

Nusha Jackson practices at 1656 N. Wells, Chicago, IL 60614. The listed phone number is (312) 643-1333.

What is Nusha 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 Nusha Jackson was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.