Tonya Tonique Jackson, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0024195649 Issued in VA

Practice address

563 Southpark Blvd
Colonial Heights, VA 23834-3610

Phone

(804) 431-5626

NPI assigned

Dec 13, 2025

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1765584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1568326569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343610",
            "telephone_number": "804-431-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343610",
            "telephone_number": "804-431-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TONYA",
        "middle_name": "TONIQUE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024195649",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024195649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@forecastmedical.direct",
            "affiliation": "N",
            "endpointDescription": "Direct secure messaging endpoint for health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Data",
            "address_1": "563 Southpark Blvd",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238343610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Emma Jackson
• Derrell Glenn Jackson, PA-C
• Rebecca Jackson, M.S., CCC-SLP
• Sarah C Jackson, LCSW, CSAC
• Shavonne Jackson, NP
• Harvinder S Jagait, MD
• James River Cardiology, LLC (Colonial Heart)
• Slawomir Paul Jarzabek
• Jencare Neighborhood Medical South Park LLC (JenCare Neighborhood Medical Centers)
• Elizabeth M. Jenkins, M.D.

• Primary Care Nurse Practitioner in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.