Danielle Jackson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209015748 Issued in IL

Practice address

8645 Connecticut St
Merrillville, IN 46410-6222

Phone

(219) 769-3500

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1104349125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18132 SAN DIEGO AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 CONNECTICUT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106222",
            "telephone_number": "219-769-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine I Izah, MD
• J K Kansal MD PC
• J.K.Kansal MD PC
• Priasha Jachna, MED, BCBA
• Sha-Ron Jackson-Johnson, MD
• Felicia Jackson
• Krystle Starr Marie Jackson, RN
• Marshanna Jackson, RBT
• Roger Dale Jackson, MA
• Zohra Jackson

• Family Nurse Practitioner in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.