RUTH V JACKSON NNP
NPI 1144437815
Nurse Practitioner in Springfield, IL

Active since May 16, 2007
415 N 9TH ST, 4W16, SPRINGFIELD, IL 62702(800) 331-2229(217) 757-6844 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ruth V Jackson Nnp NPPES

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

RUTH V JACKSON NNP (NPI 1144437815) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (209-003223) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1144437815
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRUTH V JACKSONCredential: NNP
Location Address415 N 9TH ST, 4W16Springfield, IL 62702-5303
Mailing AddressPo Box 19676Springfield, IL 62794-9676 · (800) 331-2229 · Fax (217) 757-6844
Fax(217) 757-6844
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateFebruary 15, 2011
NPI 1144437815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209-003223
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

415 N 9TH ST, Springfield, IL 62702

Other Identifiers 2

Medicaid$$$$$$$$$001IL
Medicare PIN522000011IL

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.

Obstetrics & Gynecology
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Obstetrics & Gynecology (Obstetrics)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Nutritionist (Nutrition, Education)
415 N 9TH ST, STE 6W162
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Internal Medicine (Hematology & Oncology)
415 N 9TH ST, 2W106
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144437815, enumerated as an "individual" on May 16, 2007.

The provider is located at 415 N 9TH ST 4W16 SPRINGFIELD, IL 62702 and the phone number is (800) 331-2229.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.