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HEATHER ELIZABETH JACKSON ACNP
NPI 1649602905
Nurse Practitioner in West Bloomfield, MI

Active since August 08, 2013
6286 PEPPER HILL ST, WEST BLOOMFIELD, MI 48322(313) 400-8007 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Elizabeth Jackson Acnp NPPES

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

HEATHER ELIZABETH JACKSON ACNP (NPI 1649602905) is an individual nurse practitioner in West Bloomfield, Michigan, licensed in Michigan (4704214316) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1649602905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER ELIZABETH JACKSONCredential: ACNP
Location Address6286 PEPPER HILL STWest Bloomfield, MI 48322-2301
Mailing Address6286 Pepper Hill StWest Bloomfield, MI 48322-2301 · (313) 400-8007
Phone(313) 400-8007
Sole ProprietorNo
Enumeration DateAugust 8, 2013
Last NPPES UpdateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1649602905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704214316
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704214316 (MI)
6286 PEPPER HILL ST, West Bloomfield, MI 48322
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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 Heather Jackson's NPI number?

The NPI number for Heather Jackson is 1649602905. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Heather Jackson located?

Heather Jackson practices at 6286 Pepper Hill St, West Bloomfield, MI 48322. The listed phone number is (313) 400-8007.

What is Heather Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Heather Jackson was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.