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JENNIFER A JACKSON BSN, RN, CDE
NPI 1962853101
Registered Nurse - Diabetes Educator in Kirksville, MO

Active since June 29, 2016
1506 CROWN DR, KIRKSVILLE, MO 63501(660) 627-4493(660) 627-4288 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer A Jackson Bsn, Rn, Cde NPPES

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

JENNIFER A JACKSON BSN, RN, CDE (NPI 1962853101) is an individual diabetes educator provider in Kirksville, Missouri, licensed in Missouri (2010022790) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1962853101
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameJENNIFER A JACKSONCredential: BSN, RN, CDE
Location Address1506 CROWN DRKirksville, MO 63501-2553
Mailing Address1416 Crown DrKirksville, MO 63501-2548 · (660) 627-5757 · Fax (660) 627-5802
Phone(660) 627-4493
Fax(660) 627-4288
Sole ProprietorYes
Enumeration DateJune 29, 2016
✔ NPI 1962853101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MO · 2010022790
1506 CROWN DR, Kirksville, MO 63501
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Other Providers at the Same Location NPPES 15

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

JESSICA MILLER
Nurse Practitioner (Family)
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
FRANCHESCA L COOK P.A.
Physician Assistant
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
CASSIE MARIE TILTON NP-C
Nurse Practitioner
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
SASHA ROBINSON RN
Health Educator
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
SHANNON M HATFIELD FNP
Nurse Practitioner (Family)
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
MELANIE S. GRGURICH D.O.
Family Medicine
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
MATTHEW RYAN TILTON DO
Family Medicine
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493
MS. KELLY MCDERMOTT FREELAND ARNP
Nurse Practitioner (Family)
1506 CROWN DR
KIRKSVILLE, MO 63501
Adair County (660) 627-4493

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 1962853101. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 1506 Crown Dr, Kirksville, MO 63501. The listed phone number is (660) 627-4493.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.