Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHERYSE JACKSON CRNP
NPI 1477007615
Nurse Practitioner - Family in Belcamp, MD

Active since August 04, 2016
4690 MILLENNIUM DR FL 3, BELCAMP, MD 21017(443) 255-9527 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Cheryse Jackson Crnp NPPES

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

CHERYSE JACKSON CRNP (NPI 1477007615) is an individual family provider in Belcamp, 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 JACKSONCredential: CRNP
Location Address4690 MILLENNIUM DR FL 3Belcamp, MD 21017-1523
Mailing Address409 Deer Hill CirAbingdon, MD 21009-1656 · (443) 255-9527
Sole ProprietorNo
Enumeration DateAugust 4, 2016
Last NPPES UpdateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ 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
4690 MILLENNIUM DR FL 3, Belcamp, MD 21017

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Technician, Pathology (Phlebotomy)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Technician, Pathology (Phlebotomy)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Technician, Pathology (Phlebotomy)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Technician, Pathology (Phlebotomy)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Technician, Pathology (Phlebotomy)
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017
Hospice Care, Community Based
4690 MILLENNIUM DR FL 3
BELCAMP, MD 21017

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 4690 Millennium Dr Fl 3, Belcamp, MD 21017. 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 September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.