MS. ALEXANDRIA NICHELLE JACKSON AGNP
NPI 1699277590
Nurse Practitioner in Gary, IN

Q: What is Alexandria Jackson's NPI number?

The NPI number for Alexandria Jackson is 1699277590. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Alexandria Jackson's specialty?

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

Active since March 06, 2018

215 BROADWAY, GARY, IN 46402(219) 888-5975 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Mar 6, 2018 (2 updates tracked since 2018).

On this page

About Ms. Alexandria Nichelle Jackson Agnp NPPES

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

MS. ALEXANDRIA NICHELLE JACKSON AGNP (NPI 1699277590) is an individual nurse practitioner in Gary, Indiana, licensed in Georgia (RN249768) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1699277590

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. ALEXANDRIA NICHELLE JACKSONCredential: AGNP

Location Address215 BROADWAYGary, IN 46402-1221

Mailing Address1701 E 69th AveMerrillville, IN 46410-3903 · (229) 291-4436

Phone(219) 888-5975

Sole ProprietorNo

Enumeration DateMarch 6, 2018

Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1699277590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN249768

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 · Adult HealthTaxonomy 363LA2200X · License RN249768 (GA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN249768 (GA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN249768 (GA)

215 BROADWAY, Gary, IN 46402

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

MRS. KAREN ROSE ROHRMAN NP

Nurse Practitioner (Adult Health)

215 BROADWAY
GARY, IN 46402

Lake County (219) 888-4221

MRS. RENEE LYNN LAX N.P.

Nurse Practitioner (Occupational Health)

215 BROADWAY
GARY, IN 46402

Lake County (219) 888-4221

MRS. KAY ELLEN SULLIVAN MS APN

Registered Nurse (Occupational Health)

215 BROADWAY
GARY, IN 46402

Lake County (219) 888-5975

MRS. TIFFANY SMILEY MSN, FNP-BC

Nurse Practitioner (Family)

215 BROADWAY, MS HB-1
GARY, IN 46402

Lake County (219) 888-4221

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 Alexandria Jackson's NPI number?

The NPI number for Alexandria Jackson is 1699277590. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Alexandria Jackson located?

Alexandria Jackson practices at 215 Broadway, Gary, IN 46402. The listed phone number is (219) 888-5975.

What is Alexandria 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 Alexandria Jackson was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.