Individual provider · Type 1 NPI
Carolyn Jackson, AGACNP
Acute Care Nurse Practitioner · Sacramento, CA
NPI number
1609780907
Active
Practice location
2108 N St Ste N
Sacramento, CA 95816-5712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95039733 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | 95039733 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95039733 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609780907
Carolyn Jackson, AGACNP's National Provider Identifier is 1609780907, issued on Oct 1, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Sacramento, CA. The record was last updated on Oct 1, 2026.