Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PETRA JACKSON
NPI 1861302895
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since September 10, 2026
360 HUNTINGTON AVE, BOSTON, MA 02115(617) 373-3195 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Petra Jackson NPPES

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

PETRA JACKSON (NPI 1861302895) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1861302895
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePETRA JACKSON
Location Address360 HUNTINGTON AVEBoston, MA 02115-5005
Mailing Address360 Huntington Ave, 202 Robinson HallBoston, MA 02115-5005
Sole ProprietorNo
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1861302895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
360 HUNTINGTON AVE, Boston, MA 02115

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.

Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Physician Assistant (Medical)
360 HUNTINGTON AVE
BOSTON, MA 02115
Pharmacist
360 HUNTINGTON AVE, NORTHEASTERN UNIVERSITY SCHOOL OF PHARMACY
BOSTON, MA 02115
Physician Assistant
360 HUNTINGTON AVE
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Physician Assistant
360 HUNTINGTON AVE
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115

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 Petra Jackson's NPI number?

The NPI number for Petra Jackson is 1861302895. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Petra Jackson located?

Petra Jackson practices at 360 Huntington Ave, Boston, MA 02115. The listed phone number is (617) 373-3195.

What is Petra 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 Petra Jackson was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.