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NAKISA J JACKSON
NPI 1417882200
Licensed Practical Nurse in Montgomery, AL

Active since June 15, 2026
300 TWINING ST BLDG 760, MONTGOMERY, AL 36112(334) 953-0199 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nakisa J Jackson NPPES

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

NAKISA J JACKSON (NPI 1417882200) is an individual licensed practical nurse in Montgomery, Alabama, licensed in Alabama (2-065789) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1417882200
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNAKISA J JACKSON
Location Address300 TWINING ST BLDG 760Montgomery, AL 36112-6027
Mailing Address1831 Cotton Blossom WayPrattville, AL 36067-6631
Phone(334) 953-0199
Sole ProprietorYes
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1417882200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AL · 2-065789
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
300 TWINING ST BLDG 760, Montgomery, AL 36112
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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.

DEAN EDWARD SCHULTZ III O.D.
Optometrist
300 TWINING ST BLDG 760
MONTGOMERY, AL 36112
Montgomery County (334) 953-3368
DR. REBECCA KATHERINE BRINCKS DDS
Dentist (General Practice)
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-7822
DR. AMANDA SIMMONS DUTY O.D.
Optometrist
300 TWINING ST BLDG 760
MONTGOMERY, AL 36112
Montgomery County (335) 953-9748
DR. MELISSA NASH EVERAGE NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
MALIA SILVA THOMAS CRNP, FNP
Nurse Practitioner (Family)
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
DR. PAUL A TILTON M.D.
Family Medicine
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
DR. CLAYTON J RABENS M.D., M.P.H.
Family Medicine
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
HALEY SUZANNE LORD PA-C
Physician Assistant
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (209) 747-2489

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 Nakisa Jackson's NPI number?

The NPI number for Nakisa Jackson is 1417882200. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Nakisa Jackson located?

Nakisa Jackson practices at 300 Twining St Bldg 760, Montgomery, AL 36112. The listed phone number is (334) 953-0199.

What is Nakisa Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nakisa Jackson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.