ANDREA DELOIS JACKSON FNP
NPI 1154970846
Nurse Practitioner - Family in Hanford, CA

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1154970846. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Andrea 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 Andrea Jackson was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 05, 2019

1114 W 6TH ST, HANFORD, CA 93230(559) 582-0397 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2019, Sep 5, 2019 (2 updates tracked since 2019).

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About Andrea Delois Jackson Fnp NPPES

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

ANDREA DELOIS JACKSON FNP (NPI 1154970846) is an individual family provider in Hanford, California, licensed in California (NP95012994) and active in the NPI registry since September 2019. She maintains a secondary practice location in Corcoran.

NPPES Registry Identity

NPI1154970846

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA DELOIS JACKSONCredential: FNP

Location Address1114 W 6TH STHanford, CA 93230-4901

Mailing Address1114 W 6th StHanford, CA 93230-4901 · (559) 582-0397

Phone(559) 582-0397

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateOctober 16, 20192 updates tracked since enumeration

✔ NPI 1154970846 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 CA · NP95012994

1114 W 6TH ST, Hanford, CA 93230

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Secondary Practice Location 1

Location 11212 Hanna AveCorcoran, CA 93212-2313 · Phone (559) 992-2800

Other Providers at the Same Location NPPES 2

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

DR. HANUMANDLA R REDDY M.D

Specialist

1114 W 6TH ST, SUITE 106
HANFORD, CA 93230

Kings County (559) 582-0397

H RAJENDER REDDY MD INC

Internal Medicine (Cardiovascular Disease)

1114 W 6TH ST, SUITE 106
HANFORD, CA 93230

Kings County (559) 582-0397

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1154970846. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Andrea Jackson located?

Andrea Jackson practices at 1114 W 6th St, Hanford, CA 93230. The listed phone number is (559) 582-0397.

What is Andrea 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 Andrea Jackson was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.