Individual provider · Type 1 NPI

Alexandria Nichelle Jackson, AGNP

Nurse Practitioner · Gary, IN

NPI number 1699277590 Active

Practice location

215 Broadway
Gary, IN 46402-1221

Mailing address

2484 W 85th Ln
Merrillville, IN 46410-6942

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRN249768 (GA)
Nurse Practitioner 363L00000X2026043495 (MO)
Primary Care Nurse Practitioner 363LP2300XRN249768 (GA)
Nurse Practitioner 363L00000X751418 (NY)
Adult Health Nurse Practitioner 363LA2200XRN249768 (GA)
Nurse Practitioner Primary 363L00000XRN249768 (GA)
Nurse Practitioner 363L00000X0043036 (OH)
Community Health Nurse Practitioner 363LC1500X71013380A (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 1699277590

Alexandria Nichelle Jackson, AGNP's National Provider Identifier is 1699277590, issued on Mar 6, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gary, IN. The record was last updated on Sep 29, 2026.