Individual provider · Type 1 NPI
Michelle Jackson, FNP-BC
Nurse Practitioner · Greensboro, NC
Practice location
1600 Highwoods Blvd
Greensboro, NC 27410-2048
Mailing address
163 Poospatuck Ln
Mastic, NY 11950-5201
Other practice locations
- 163 Poospatuck Ln, Mastic, NY 11950-5201 · (631) 772-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 503813 (NY) |
| Nurse Practitioner | 363L00000X | 344797 (NY) |
| Nurse Practitioner Primary | 363L00000X | 5016294 (NC) |
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…
Another provider at this address
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About NPI 1306095658
Michelle Jackson, FNP-BC's National Provider Identifier is 1306095658, issued on Sep 11, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Oct 3, 2024.