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JACKSON HEALTH
NPI 1790490191
Nurse Practitioner - Family in Effingham, IL

Active since January 19, 2023
14878 E HARMONY DR, EFFINGHAM, IL 62401(218) 282-0457 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Health NPPES

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

JACKSON HEALTH (NPI 1790490191) is a healthcare organization registered as a family in Effingham, Illinois and active in the NPI registry since January 2023. The organization lists Stephanie Dawn Jackson, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1790490191
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJACKSON HEALTH, PLLC
Location Address14878 E HARMONY DREffingham, IL 62401-4849
Mailing Address14878 E Harmony DrEffingham, IL 62401-4849 · (218) 282-0457
Phone(218) 282-0457
Organization SubpartNo
Authorized OfficialStephanie Dawn JacksonFnp/owner · (218) 282-0457
Enumeration DateJanuary 19, 2023
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1790490191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
14878 E HARMONY DR, Effingham, IL 62401
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Other Names 1

Doing Business AsJackson Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jackson Health, PLLC's NPI number?

The NPI number for Jackson Health, PLLC is 1790490191. It was assigned to this organization in the NPPES registry on January 19, 2023. The provider is doing business as Jackson Health.

Where is Jackson Health, PLLC located?

Jackson Health, PLLC is located at 14878 E Harmony Dr, Effingham, IL 62401. The listed phone number is (218) 282-0457.

What is Jackson Health, PLLC'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 Jackson Health, PLLC was last updated on August 1, 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.