PATRICIA L JACKSON FNP
NPI 1376557702
Nurse Practitioner - Family in Mishawaka, IN

Active since July 28, 2006
230 W CATALPA DR, SUITE D, MISHAWAKA, IN 46545(574) 257-7551(574) 257-7535 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia L Jackson Fnp NPPES

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

PATRICIA L JACKSON FNP (NPI 1376557702) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71001911A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376557702
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA L JACKSONCredential: FNP
Location Address230 W CATALPA DR, SUITE DMishawaka, IN 46545-8321
Mailing Address230 Catalpa, Suite DMishawaka, IN 46545 · (574) 257-7551 · Fax (574) 257-7535
Fax(574) 257-7535
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 5, 2019
NPI 1376557702 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 IN · 71001911A
230 W CATALPA DR, Mishawaka, IN 46545

Other Names 1

Former Name (1)Patricia Trethewey Fnp

Other Identifiers 1

Medicaid200519100IN

Other Providers at the Same Location NPPES

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

Pharmacist
230 W CATALPA DR
MISHAWAKA, IN 46545

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 Patricia Jackson's NPI number?

The NPI number for Patricia Jackson is 1376557702. It was assigned to this individual provider in the NPPES registry on July 28, 2006. The provider is also known as Patricia Trethewey Fnp.

Where is Patricia Jackson located?

Patricia Jackson practices at 230 W Catalpa Dr Suite D, Mishawaka, IN 46545. The listed phone number is (574) 257-7551.

What is Patricia 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 Patricia Jackson was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.