DWIGHT C JACKSON II
NPI 1215860044
Nurse Practitioner in Cameron, MO

Active since June 03, 2026
204 BENJAMIN DR, CAMERON, MO 64429(435) 215-6082 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dwight C Jackson Ii NPPES

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

DWIGHT C JACKSON II (NPI 1215860044) is an individual nurse practitioner in Cameron, Missouri, licensed in Missouri (2025097452) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1215860044
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDWIGHT C JACKSON II
Location Address204 BENJAMIN DRCameron, MO 64429-2320
Mailing Address204 Benjamin DrCameron, MO 64429-2320 · (435) 215-6082
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1215860044 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 MO · 2025097452
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.
204 BENJAMIN DR, Cameron, MO 64429

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dwight Jackson's NPI number?

The NPI number for Dwight Jackson is 1215860044. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Dwight Jackson located?

Dwight Jackson practices at 204 Benjamin Dr, Cameron, MO 64429. The listed phone number is (435) 215-6082.

What is Dwight Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dwight Jackson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.