Jordan Hope Jackson, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

120366 Issued in AR

Practice address

2601 Gene George Blvd
Springdale, AR 72762-0845

Phone

(479) 309-5391

NPI assigned

Jun 26, 2024

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1942045554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 OLD HIGHWAY 68",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618690",
            "telephone_number": "253-370-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GENE GEORGE BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620845",
            "telephone_number": "479-309-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JORDAN",
        "middle_name": "HOPE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AR",
            "license": "120366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Irwin, M.D.
• Abby Ivy
• Aaliyah Jackson
• Amy Elizabeth Jackson, MHPP
• Hugh H Jackson, MD
• Kathryn Martin Jackson, BSE,M.ED
• Leah Jacobs
• Jacquelyn Lange-Halley MD PLLC
• James D Sharp MD PLLC
• James L. Hiatt, D.D.S., P.L.L.C. (Springdale)

• Pediatric Registered Nurse in Springdale, AR
• Providers in Springdale, AR by specialty
• Pediatric Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.