Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RACQUEL JACKSON PMHNP-BC
NPI 1356258800
Nurse Practitioner - Psychiatric/Mental Health in Canal Winchester, OH

Q: What is Racquel Jackson's NPI number?

The NPI number for Racquel Jackson is 1356258800. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Q: What is Racquel Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Racquel Jackson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 August 27, 2026

5430 POOLBEG ST, CANAL WINCHESTER, OH 43110(614) 216-4778 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Racquel Jackson Pmhnp-bc NPPES

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

RACQUEL JACKSON PMHNP-BC (NPI 1356258800) is an individual psychiatric/mental health provider in Canal Winchester, Ohio, licensed in Ohio (0042612) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1356258800

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRACQUEL JACKSONCredential: PMHNP-BC

Location Address5430 POOLBEG STCanal Winchester, OH 43110-8119

Mailing Address5430 Poolbeg StCanal Winchester, OH 43110-8119 · (614) 216-4778

Phone(614) 216-4778

Sole ProprietorYes

Enumeration DateAugust 27, 2026

NPPES CertifiedAugust 27, 2026

✔ NPI 1356258800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 0042612

5430 POOLBEG ST, Canal Winchester, OH 43110

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Racquel Jackson's NPI number?

The NPI number for Racquel Jackson is 1356258800. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Racquel Jackson located?

Racquel Jackson practices at 5430 Poolbeg St, Canal Winchester, OH 43110. The listed phone number is (614) 216-4778.

What is Racquel Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Racquel Jackson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.