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MRS. TRICIA MARIE JACKSON CRNP
NPI 1558956235
Nurse Practitioner - Family in Millersville, MD

Active since March 04, 2021
8124 VETERANS HWY, MILLERSVILLE, MD 21108(410) 987-5244 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2021, May 13, 2021, Mar 4, 2021 (3 updates tracked since 2021).

About Mrs. Tricia Marie Jackson Crnp NPPES

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

MRS. TRICIA MARIE JACKSON CRNP (NPI 1558956235) is an individual family provider in Millersville, Maryland, licensed in Maryland (R214869) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1558956235
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRICIA MARIE JACKSONCredential: CRNP
Location Address8124 VETERANS HWYMillersville, MD 21108-1412
Mailing Address8124 Veterans HwyMillersville, MD 21108-1412 · (410) 987-5244
Phone(410) 987-5244
Sole ProprietorNo
Enumeration DateMarch 4, 2021
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1558956235 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 · R214869
8124 VETERANS HWY, Millersville, MD 21108
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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.

JTIAN PATEL PHARM D, MBA
Pharmacist
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 987-5244
BRENTON DEAN SHAFFER
Pharmacist
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 987-5244
WANDA LAFAYE GHANT-MOONEY MSN
Nurse Practitioner (Family)
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (866) 389-2727
ROCHELLE LESLIE LONGKENG PHARMD
Pharmacist
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 987-5244
DUY NGUYEN PHARMD
Pharmacist
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (215) 287-0882
AMANDA MUOIO PHARMD
Pharmacist
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 987-5244
MARYLAND CVS PHARMACY LLC
Pharmacy
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 987-5244

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 Tricia Jackson's NPI number?

The NPI number for Tricia Jackson is 1558956235. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Tricia Jackson located?

Tricia Jackson practices at 8124 Veterans Hwy, Millersville, MD 21108. The listed phone number is (410) 987-5244.

What is Tricia 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 Tricia Jackson was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.