Individual provider · Type 1 NPI

Dwight C. Jackson Ii

Nurse Practitioner · Cameron, MO

NPI number 1215860044 Active

Practice location

204 Benjamin Dr
Cameron, MO 64429-2320

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2025097452 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215860044

Dwight C. Jackson Ii's National Provider Identifier is 1215860044, issued on Jun 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cameron, MO. The record was last updated on Jun 3, 2026.