MICHELLE MAGGI JACKSON FNP-C - NPI 1295344349 - Nurse Practitioner in Glen Allen, VA

Q: What is Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1295344349. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Q: What is Michelle 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 Michelle Jackson was last updated on July 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Michelle Maggi Jackson Fnp-c NPPES

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

MICHELLE MAGGI JACKSON FNP-C (NPI 1295344349) is an individual family provider in Glen Allen, Virginia, licensed in Virginia (0024179601) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1295344349

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE MAGGI JACKSONCredential: FNP-C

Location Address10571 TELEGRAPH RD STE 110Glen Allen, VA 23059-4652

Mailing Address10571 Telegraph Rd Ste 110Glen Allen, VA 23059-4652 · (804) 266-9616 · Fax (804) 261-4935

Phone(804) 266-9616

Fax(804) 261-4935

Sole ProprietorNo

Enumeration DateJuly 24, 2020

Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration

NPPES CertifiedJune 27, 2023

✔ NPI 1295344349 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 VA · 0024179601

10571 TELEGRAPH RD STE 110, Glen Allen, VA 23059

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Other Providers at the Same Location NPPES 7

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

SAMANTHA MACIOLEK

Nurse Practitioner (Primary Care)