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MRS. JESSICA LYNN JACKSON FNP
NPI 1700163771
Nurse Practitioner - Family in Charlotte, NC

Active since November 04, 2011
9201 UNIVERSITY CITY BLVD STUDENT HEALTH, CHARLOTTE, NC 28223(704) 687-7403(704) 687-1801 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jan 11, 2017 (2 updates tracked since 2017).

About Mrs. Jessica Lynn Jackson Fnp NPPES

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

MRS. JESSICA LYNN JACKSON FNP (NPI 1700163771) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5005386) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1700163771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA LYNN JACKSONCredential: FNP
Location Address9201 UNIVERSITY CITY BLVD STUDENT HEALTHCharlotte, NC 28223-0328
Mailing AddressPo Box 601067Charlotte, NC 28260-1067 · (704) 801-1000 · Fax (704) 896-2961
Phone(704) 687-7403
Fax(704) 687-1801
Sole ProprietorNo
Enumeration DateNovember 4, 2011
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1700163771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5005386✔ Licensed in NC · 207353
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5005386 (NC)
9201 UNIVERSITY CITY BLVD STUDENT HEALTH, Charlotte, NC 28223
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Other Names 1

Former Name (1)Ms. Jessica Lynn Yanusz

Other Identifiers 3

MedicaidNP2522SC
Medicaid7006167NC
Medicaid1700163771NC

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1700163771. It was assigned to this individual provider in the NPPES registry on November 4, 2011. The provider is also known as Ms. Jessica Lynn Yanusz.

Where is Jessica Jackson located?

Jessica Jackson practices at 9201 University City Blvd Student Health, Charlotte, NC 28223. The listed phone number is (704) 687-7403.

What is Jessica 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 Jessica Jackson was last updated on September 19, 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.