Individual provider Active NPI

Alexis Nicole Jackson, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Hernando, MS
National Provider Identifier
1265366579
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
908482 Issued in MS
Practice address
1250 E Commerce St
Hernando, MS 38632-2456
Phone
(662) 298-2238
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 908482 MS Primary

Addresses

Primary practice location

1250 E Commerce St
Hernando, MS 38632-2456

Mailing address

1250 E Commerce St
Hernando, MS 38632-2456
Phone (662) 298-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Baylor College of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

188 Starlyn Ave
New Albany, MS 38652-2436

2601 Getwell Rd
Suite 1
Corinth, MS 38834-6761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1265366579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "908482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.