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BREANNA J JACKSON WHNP
NPI 1144162090
Nurse Practitioner - Women's Health in Mattoon, IL

Active since April 08, 2026
313 N 26TH ST, MATTOON, IL 61938(217) 480-5829 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna J Jackson Whnp NPPES

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

BREANNA J JACKSON WHNP (NPI 1144162090) is an individual women's health provider in Mattoon, Illinois, licensed in Illinois (209033792) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1144162090
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBREANNA J JACKSONCredential: WHNP
Location Address313 N 26TH STMattoon, IL 61938-2556
Mailing Address2601 Champaign AveMattoon, IL 61938-2548
Phone(217) 480-5829
Sole ProprietorYes
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1144162090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209033792
313 N 26TH ST, Mattoon, IL 61938
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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 Breanna Jackson's NPI number?

The NPI number for Breanna Jackson is 1144162090. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Breanna Jackson located?

Breanna Jackson practices at 313 N 26th St, Mattoon, IL 61938. The listed phone number is (217) 480-5829.

What is Breanna Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Breanna Jackson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.