Individual provider · Type 1 NPI

Tracy I. Jackson, APRN, FNP-BC

Family Nurse Practitioner · Evanston, IL

NPI number 1871894899 Active

Practice location

3333 Central St
Evanston, IL 60201-1150

Mailing address

1810 Lake Street
Evanston, IL 60201

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041315953 (IL)
Family Nurse Practitioner Primary 363LF0000X209012646 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1871894899

Tracy I. Jackson, APRN, FNP-BC's National Provider Identifier is 1871894899, issued on Nov 8, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Jul 24, 2023.