Individual provider · Type 1 NPI
Poppy Christina Jackson, DNP, AGPCNP-BC
Adult Health Nurse Practitioner · New York, NY
NPI number
1073288122
Active
Practice location
325 W 15th St Ste A
New York, NY 10011-5903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310258 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1073288122
Poppy Christina Jackson, DNP, AGPCNP-BC's National Provider Identifier is 1073288122, issued on Aug 11, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Oct 23, 2025.