Individual provider Active NPI

Jasmine Jackson, NP

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1396411542
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216830 Issued in AR
Practice address
1205 E Dixon Rd
Little Rock, AR 72206-4171
Phone
(501) 234-2022
Fax
(501) 588-2780
NPI assigned
Aug 18, 2021
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216830 AR Primary

Addresses

Primary practice location

1205 E Dixon Rd
Little Rock, AR 72206-4171

Mailing address

650 S Shackleford Rd Ste 141
Little Rock, AR 72211-3560

Other practice location 1

506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Phone (870) 942-3000

Other names 1

  • Jasmine Stasher Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1459 N US Hwy 1
Suite 1
Ormond Beach, FL 32174-0707

PO Box
Suite 509
Dermott, AR 71638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
216830ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems, Inc CurrentSince Jul 1, 2024 Accepting new patients
Mainline Health Systems, Inc CurrentSince Jul 1, 2024 Accepting new patients
Mainline Health Systems Inc Past Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

1205 E Dixon Rd
Little Rock, AR 72206
Phone (501) 234-2020

506 Little Creek Cut Off Rd
Sheridan, AR 72150
Phone (800) 204-1227

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1396411542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S SHACKLEFORD RD STE 141",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E DIXON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064171",
            "telephone_number": "501-234-2022",
            "fax_number": "501-588-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Little Creek Cut Off Rd",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "AR",
            "postal_code": "721507798",
            "country_code": "US",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASMINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "STASHER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.