Individual provider · Type 1 NPI

Chau N. Jackson, AGPCNP-BC

Nurse Practitioner · Marion, IN

NPI number 1336650795 Active

Practice location

1700 E 38th St
Marion, IN 46953-4568

Fax (765) 677-5167

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X71007563A (IN)
Gerontology Nurse Practitioner 363LG0600X71007563A (IN)
Primary Care Nurse Practitioner 363LP2300X71007563A (IN)
Nurse Practitioner Primary 363L00000X71007563A (IN)

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 1336650795

Chau N. Jackson, AGPCNP-BC's National Provider Identifier is 1336650795, issued on Oct 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marion, IN. The record was last updated on Sep 26, 2023.