Patricia Jackson, DNP, CRNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-128321 Issued in AL

Practice address

63 S Court SQ
Troy, AL 36081-2609

Phone

(334) 372-2162

NPI assigned

Aug 30, 2022

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Medical Digital Telehealth, LLC

  • Adult Health Nurse Practitioner
  • Troy, AL
  • NPI 1801733589

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1427778471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KNOX ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812800",
            "telephone_number": "334-372-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S COURT SQ",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812609",
            "telephone_number": "334-372-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PATRICIA",
        "credential": "DNP, CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-128321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Creek Family Care of Troy
• Jackson Hospital and Clinic Inc (Jackson Urology East Troy)
• Jackson Hospital and Clinic, Inc (Jackson Vascular Surgery Troy)
• Eddie C. Jackson, DMD
• Lashonda Jackson
• Symonee Jackson
• Hoon Benjamin Ji, D.M.D.
• John W. Crosby, M.D., Facs
• Johnson Brothers LLC (Advantage Medical Supply)
• Hannah Hughes Johnson

• Acute Care Nurse Practitioner in Troy, AL
• Providers in Troy, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.