SANDRA PAOLA JACKSON NURSE PRACTITIONER
NPI 1205604246
Nurse Practitioner - Pediatrics in Norwalk, CT

Q: What is Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1205604246. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Q: What is Sandra Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Jackson was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 19, 2023

10 MOTT AVE STE 2A, NORWALK, CT 06850(203) 855-7551 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra Paola Jackson Nurse Practitioner NPPES

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

SANDRA PAOLA JACKSON NURSE PRACTITIONER (NPI 1205604246) is an individual pediatrics provider in Norwalk, Connecticut, licensed in Connecticut (12560) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1205604246

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSANDRA PAOLA JACKSONCredential: NURSE PRACTITIONER

Location Address10 MOTT AVE STE 2ANorwalk, CT 06850-3320

Mailing Address10 Mott Ave Ste 2aNorwalk, CT 06850-3320

Phone(203) 855-7551

Sole ProprietorNo

Enumeration DateDecember 19, 2023

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 20, 2023

✔ NPI 1205604246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in CT · 12560

10 MOTT AVE STE 2A, Norwalk, CT 06850

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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.

INGRID PASTEN LCSW

Social Worker (Clinical)

10 MOTT AVE STE 2A
NORWALK, CT 06850

Western Connecticut Planning Region (203) 855-7551

ALICIA COLLEN ZEIDAN APRN

Nurse Practitioner (Family)

10 MOTT AVE STE 2A
NORWALK, CT 06850

Western Connecticut Planning Region (203) 899-1770

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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1205604246. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Sandra Jackson located?

Sandra Jackson practices at 10 Mott Ave Ste 2A, Norwalk, CT 06850. The listed phone number is (203) 855-7551.

What is Sandra Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Sandra Jackson was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.