MRS. NICOLE S JACKSON FNP
NPI 1831385848
Nurse Practitioner - Family in Savannah, GA

Q: What is Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1831385848. It was assigned to this individual provider in the NPPES registry on September 24, 2007. The provider is also known as Mrs. Nicole Stephanie Jackson Rn Msn Fnp.

Q: What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 24, 2007

4 SKIDAWAY VILLAGE WALK STE B, SAVANNAH, GA 31411(912) 598-6312(912) 335-7897 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2018, Jun 15, 2018 (2 updates tracked since 2018).

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About Mrs. Nicole S Jackson Fnp NPPES

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

MRS. NICOLE S JACKSON FNP (NPI 1831385848) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN277697) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1831385848

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLE S JACKSONCredential: FNP

Location Address4 SKIDAWAY VILLAGE WALK STE BSavannah, GA 31411-2962

Mailing Address150 Johnny Mercer BlvdSavannah, GA 31410-2102 · (912) 897-3220

Phone(912) 598-6312

Fax(912) 335-7897

Sole ProprietorNo

Enumeration DateSeptember 24, 2007

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1831385848 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

License✔ Licensed in GA · RN277697

Also ListedNurse PractitionerTaxonomy 363L00000X · License F334631 1 (NY)

4 SKIDAWAY VILLAGE WALK STE B, Savannah, GA 31411

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Other Names 1

Professional Name (2)Mrs. Nicole Stephanie Jackson Rn Msn Fnp

Other Identifiers 1

Medicaid02733026NY

Other Providers at the Same Location NPPES 8

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

MRS. ANSLEY SELLARS POWELL WHNP

Nurse Practitioner