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CHERYSE JACKSON
NPI 1477007615
Nurse Practitioner - Family in Cockeysville, MD

Active since August 04, 2016
12 KINGS CROSSING CT, APT L, COCKEYSVILLE, MD 21030(443) 255-9527 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryse Jackson NPPES

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

CHERYSE JACKSON (NPI 1477007615) is an individual family provider in Cockeysville, Maryland, licensed in Maryland (R204022) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1477007615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHERYSE JACKSON
Location Address12 KINGS CROSSING CT, APT LCockeysville, MD 21030-3172
Mailing Address12 Kings Crossing Court, LCockeysville, MD 21030 · (443) 255-9527
Phone(443) 255-9527
Sole ProprietorNo
Enumeration DateAugust 4, 2016
✔ NPI 1477007615 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 MD · R204022
12 KINGS CROSSING CT, Cockeysville, MD 21030
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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 Cheryse Jackson's NPI number?

The NPI number for Cheryse Jackson is 1477007615. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Cheryse Jackson located?

Cheryse Jackson practices at 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030. The listed phone number is (443) 255-9527.

What is Cheryse 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 Cheryse Jackson was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.