JESSICA R JACKSON MSN, APRN, PMHNP - NPI 1871120600 - Nurse Practitioner in Harrisburg, IL

Q: What is Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1871120600. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Jessica Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Jackson was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica R Jackson Msn, Aprn, Pmhnp NPPES

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

JESSICA R JACKSON MSN, APRN, PMHNP (NPI 1871120600) is an individual psychiatric/mental health provider in Harrisburg, Illinois, licensed in Illinois (209021074) and active in the NPI registry since March 2020. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1871120600

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA R JACKSONCredential: MSN, APRN, PMHNP

Location Address100 DR WARREN TUTTLE DRHarrisburg, IL 62946-2718

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 252-0999

Fax(618) 252-2032

Sole ProprietorNo

Enumeration DateMarch 23, 2020

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1871120600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209021074

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209021074 (IL)

100 DR WARREN TUTTLE DR, Harrisburg, IL 62946

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Secondary Practice Locations 5

Location 11007 US Highway 45 NEldorado, IL 62930-3767 · Phone (618) 273-7723 · Fax (618) 351-4834

Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 684-1024

Location 3405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469

Location 43106 Outer DrMarion, IL 62959-5270 · Phone (618) 998-0888 · Fax (618) 351-4807

Location 5201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917

Other Providers at the Same Location NPPES 17

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

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