Elizabeth Jean Jackson, ACNS BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

AP112604 Issued in TX

Practice address

1015 E 32ND St
Ste 508
Austin, TX 78705-2707

Phone

(512) 480-3147

Fax

(512) 480-3153

NPI assigned

Mar 29, 2010

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

Other names 1

• Mrs. Elizabeth Jean Ambelang Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1659696003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 508",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-480-3147",
            "fax_number": "512-480-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ACNS BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "644855",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP112604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejackson7946@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "1015 E 32nd St",
            "address_2": "STE 508",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787052707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "AMBELANG",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "ACNS BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clara Marie Jackson
• Courtney Elyse Jackson
• Courtney Marie Jackson, M.S., CCC-SLP
• Dominic A Jackson, DPT
• Donnita Kaye Jackson
• Elizabeth Plumer Jackson, DO
• Emily Sarah Jackson, FNP-C
• Erica L Jackson, CRNA
• Grace Nightingale Cortez Jackson, M.D.
• Gregory Allen Jackson, DPT

• Adult Health Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.