Janet Ann Jackson, DNP, APRN-CNS, CCRN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

R0049750 Issued in OK

Practice address

3540 E 31St St Ste 3
Tulsa, OK 74135-1526

Phone

(918) 749-8378

NPI assigned

Oct 15, 2021

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

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1821751991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 W VANDALIA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126137",
            "telephone_number": "918-645-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E 31ST ST STE 3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351526",
            "telephone_number": "918-749-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JANET",
        "middle_name": "ANN",
        "credential": "DNP, APRN-CNS, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "R0049750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Allen Jackson II
• Hannah Joy Jackson
• Hayden Jackson, AGACNP
• Jace Jackson
• Jacquelyn Jackson
• Jarrett Jackson
• Jeannine Jackson, COTA/L
• Jennifer Jackson, M.S.
• Joanna Lee Jackson, LPC-CANDIDATE
• Joseph Aaron-Hollister Jackson

• Adult Health Clinical Nurse Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Adult Health Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.