1. Home
  2. Directory
  3. Washington
  4. Renton
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER JACKSON AGACNP
NPI 1780395541
Student in an Organized Health Care Education/Training Program in Renton, WA

Active since December 12, 2022
400 S 43RD ST, RENTON, WA 98055(425) 690-1000 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, May 7, 2026, May 13, 2025 and 1 more (4 updates tracked since 2022).

About Jennifer Jackson Agacnp NPPES

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

JENNIFER JACKSON AGACNP (NPI 1780395541) is an individual student in an organized health care education/training program in Renton, Washington and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1780395541
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER JACKSONCredential: AGACNP
Location Address400 S 43RD STRenton, WA 98055-5714
Mailing Address400 S 43rd StRenton, WA 98055-5714
Phone(425) 690-1000
Sole ProprietorYes
Enumeration DateDecember 12, 2022
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1780395541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 S 43RD ST, Renton, WA 98055
Open in Google Maps ↗

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.

CATHERINE A MICKELSON SLP
Speech-Language Pathologist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
IRENE A BRYANT PT
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
JEFFREY C THOMPSON MD
Internal Medicine
400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055
King County (425) 228-3440
AARON TZUPENG FANG M.D.
Hospitalist
400 S 43RD ST
RENTON, WA 98055
King County (425) 228-3440
DR. TORY JOHN OLSEN MD
Student in an Organized Health Care Education/Training Program
400 S 43RD ST
RENTON, WA 98055
King County (425) 656-4224
ANNE B VILLARI PT
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
DAN LAM RPH
Pharmacist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5164
ANNA L SAMSON STEIN MD
Hospitalist
400 S 43RD ST
RENTON, WA 98055
King County (425) 228-3440

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1780395541. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 400 S 43rd St, Renton, WA 98055. The listed phone number is (425) 690-1000.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.