Individual provider · Type 1 NPI

Patricia Nichole Jackson, APN-CNP

Nurse Practitioner · Oswego, IL

NPI number 1457609554 Active

Practice location

6701 US Highway 34
Oswego, IL 60543-9129

Fax (630) 548-5313

Mailing address

2650 Ridge Ave # 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X277.001274 (IL)

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 1457609554

Patricia Nichole Jackson, APN-CNP's National Provider Identifier is 1457609554, issued on Aug 21, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oswego, IL. The record was last updated on Feb 4, 2026.