Pamela Jackson, PHD, RN
NPI 1417739616ActiveIndividual· Registered Nurse· Hoover, AL
Registered Nurse (PHD, RN) in Hoover, Alabama, licensed in AL and CA, with an NPI issued in October 2023.
Overview
| NPI | 1417739616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, RN |
| Sole proprietor | Yes |
| NPI issued | Oct 20, 2023 |
| Last updated in NPPES | Oct 20, 2023 |
| Certified by provider | Oct 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 1-158127 | AL |
| Registered Nurse | 163W00000X | 95283745 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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