SAVANNAH JACKSON MSN, APRN, FNP-C
NPI 1336874643
Nurse Practitioner - Family in Columbia, MD
About Savannah Jackson Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAVANNAH JACKSON MSN, APRN, FNP-C (NPI 1336874643) is an individual family provider in Columbia, Maryland, licensed in South Carolina (26443) and active in the NPI registry since July 2022. She maintains a secondary practice location in Chesterfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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.
COLUMBIA, MD 21044
COLUMBIA, MD 21044
COLUMBIA, MD 21044
COLUMBIA, MD 21044
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 Savannah Jackson's NPI number?
The NPI number for Savannah Jackson is 1336874643. It was assigned to this individual provider in the NPPES registry on July 20, 2022.
Where is Savannah Jackson located?
Savannah Jackson practices at 10175 Little Patuxent Pkwy, Columbia, MD 21044. The listed phone number is (800) 561-0861.
What is Savannah 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 Savannah Jackson was last updated on September 30, 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.
# Savannah Jackson, MSN, APRN, FNP-C · NPI 1336874643
Family physician in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since July 20, 2022.
## Identity
- **NPI:** 1336874643 (Entity type: Individual)
- **Enumerated:** July 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26443 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 10175 LITTLE PATUXENT PKWY, Columbia, MD 21044-2655
- **Phone:** (800) 561-0861
## Record status
- **NPPES last updated:** September 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1336874643) · Data from the CMS NPPES public registry.