William Neal Jackson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172458 Issued in VA

Practice address

301 N Cameron St Ste 100
Winchester, VA 22601-6018

Phone

(540) 536-1680

Fax

(540) 662-5321

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: william.jackson.1@13270.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deardorff & Camacho

  • Specialist
  • Falls Church, VA
  • NPI 1205161205
  NPD (past)
• Panamerican Internal Medicine, P.C.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1689868671
  NPD (past)
• Quad/Med, LLC

  • Primary Care Clinic/Center
  • Winchester, VA
  • NPI 1750828687
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1124013743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 MORGAN FREDERICK GRADE",
            "city": "CROSS JUNCTION",
            "state": "VA",
            "postal_code": "226251717",
            "telephone_number": "706-840-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CAMERON ST STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016018",
            "telephone_number": "540-536-1680",
            "fax_number": "540-662-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Admiral Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226024575",
            "country_code": "US",
            "telephone_number": "540-723-4069",
            "fax_number": "540-535-7278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Leesburg Pike Ste 410",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220442201",
            "country_code": "US",
            "telephone_number": "703-532-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Patton Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Stuarts Draft",
            "state": "VA",
            "postal_code": "244772610",
            "country_code": "US",
            "telephone_number": "540-943-7101 x43232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WILLIAM",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18740",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN049375 NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J W Platt, RPH, LLC
• Jack Ricci DC PC
• Alyssa Jackson, LPC
• Barbara A Jackson, RD
• Jessica Marie Jackson, D.O.
• Kiarash Jahed, M.D.
• Bishara Jahshan, MD
• Lorette Jahshan, FNP-BC
• James River Home Health Care, LLC
• James River Home Health Care, LLC

• Family Nurse Practitioner in Winchester, VA
• Providers in Winchester, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.