Gina Lori Jackson, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0001086096 Issued in VA

Practice address

8119 Holland Rd
Pact
Alexandria, VA 22306-3135

Phone

(703) 799-2762

Fax

(703) 780-6928

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659487809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 SHADWELL DR",
            "address_2": "67",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223094634",
            "telephone_number": "703-360-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 HOLLAND RD",
            "address_2": "PACT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063135",
            "telephone_number": "703-799-2762",
            "fax_number": "703-780-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GINA",
        "middle_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001086096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Jackson, M.D.
• Cassandra Jackson
• Emmanuel Jackson
• Faiza Omer Jackson, LCSW
• Gina Diane Jackson, PA-C
• James Jackson, COTA/L
• Karen C. Jackson, CCC-SLP
• Kevin D Jackson, D.D.S.
• Kiera A Jackson
• Lawrence Phillip Jackson III

• Adult Psychiatric/Mental Health Registered Nurse in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.