Jackson Health, PLLC
NPI 1790490191ActiveOrganization· Nurse Practitioner, Family· Effingham, IL
Nurse Practitioner, Family in Effingham, Illinois, registered in NPPES in January 2023. The authorized official on file is Stephanie Dawn Jackson, APRN, Fnp/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790490191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2023 |
| Last updated in NPPES | Aug 1, 2023 |
| Certified by provider | Aug 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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