Active NPI
Aubrey Nicole Jackson
- Family Nurse Practitioner
- Waterloo, IA
National Provider Identifier
1982511622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A193639
- Practice address
- 2710 Saint Francis Dr Ste 111
Waterloo, IA 50702-5664 - Phone
- (319) 272-7425
- Fax
- (319) 272-8059
- NPI assigned
- Aug 26, 2026
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A193639 | IA | Primary |
Addresses
Primary practice location
2710 Saint Francis Dr Ste 111
Waterloo, IA 50702-5664
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7304
Other practice location 1
602 7th Ave SW
Tripoli, IA 50676-9700
Phone (319) 882-3534
Other practice location 2
129 8th Ave SE
Oelwein, IA 50662-2352
Phone (319) 283-6500
Other practice location 3
226 Bluebell Rd Ste Opt
Cedar Falls, IA 50613-6328
Phone (319) 272-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1982511622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-7304",
"fax_number": "319-272-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SAINT FRANCIS DR STE 111",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025664",
"telephone_number": "319-272-7425",
"fax_number": "319-272-8059"
}
],
"practiceLocations": [
{
"address_1": "602 7th Ave SW",
"address_purpose": "LOCATION",
"city": "Tripoli",
"state": "IA",
"postal_code": "506769700",
"country_code": "US",
"telephone_number": "319-882-3534",
"fax_number": "319-272-3850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 8th Ave SE",
"address_purpose": "LOCATION",
"city": "Oelwein",
"state": "IA",
"postal_code": "506622352",
"country_code": "US",
"telephone_number": "319-283-6500",
"fax_number": "319-283-6509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "226 Bluebell Rd Ste Opt",
"address_purpose": "LOCATION",
"city": "Cedar Falls",
"state": "IA",
"postal_code": "506136328",
"country_code": "US",
"telephone_number": "319-272-7425",
"fax_number": "319-575-5617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "AUBREY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A193639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.