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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CAROLYN JACKSON AGACNP
NPI 1609780907
Nurse Practitioner - Acute Care in Sacramento, CA

Active since October 01, 2026
2108 N ST STE N, SACRAMENTO, CA 95816(707) 249-1203 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Carolyn Jackson Agacnp NPPES

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

CAROLYN JACKSON AGACNP (NPI 1609780907) is an individual acute care provider in Sacramento, California, licensed in California (95039733) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1609780907
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCAROLYN JACKSONCredential: AGACNP
Location Address2108 N ST STE NSacramento, CA 95816-5712
Mailing Address2108 N St Ste NSacramento, CA 95816-5712 · (707) 249-1203
Phone(707) 249-1203
Sole ProprietorYes
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1609780907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95039733
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95039733 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95039733 (CA)
2108 N ST STE N, Sacramento, CA 95816
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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.

EMMA GRACE PFEFFER IBCLC
Lactation Consultant, Non-RN
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (713) 858-1805
JAMAL ADAMS LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Counselor (Professional)
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (509) 768-2249
KELLY THOMAS M.A., CCC-SLP
Speech-Language Pathologist
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (714) 746-9498
PURE HEALTHCARE OF CALIFORNIA, LLC
Clinic/Center (Multi-Specialty)
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (801) 590-9267
CLEAR PATH CARE SOLUTIONS, LLC
Case Management
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (888) 737-0657
KHAIR PSYCHOLOGY, PC
Psychologist (Clinical)
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (925) 400-7594
CAROLYN THOMAS CPT1
Technician, Pathology (Phlebotomy)
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (209) 717-9115
SAIRA BABAR
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2108 N ST STE N
SACRAMENTO, CA 95816
Sacramento County (310) 756-5321

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 Carolyn Jackson's NPI number?

The NPI number for Carolyn Jackson is 1609780907. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Carolyn Jackson located?

Carolyn Jackson practices at 2108 N St Ste N, Sacramento, CA 95816. The listed phone number is (707) 249-1203.

What is Carolyn Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Carolyn Jackson was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.