Active NPIIndividual providerSole proprietor

Susan C Jackson, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Lumberton, New Jersey

NPI Number1619722972
Practice location
14 Westminster Dr, Lumberton, NJ 08048-5064
Fax
—
Last updated
April 30, 2024

Susan Caprice Jackson is a Nurse Practitioner, Psych/Mental Health based in Lumberton, NJ. Susan Caprice Jackson practices in Lumberton, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Susan Caprice Jackson is 1619722972 and holds a License No. 26NJ15059000 (NJ). The current practice location address for Susan Caprice Jackson is 14 Westminster Dr, Lumberton, NJ 08048-5064 and can be reached out via phone at 917-400-5108.

Provider Profile Details

NPI Number
1619722972
Provider Name
Susan Caprice Jackson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
14 Westminster Dr, Lumberton, NJ 08048-5064
Phone Number
917-400-5108
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2024
Last Update Date
April 30, 2024
Certification Date
April 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Westminster Dr
Lumberton, NJ 08048-5064
Zip
08048-5064
Phone Number
917-400-5108
Lumberton, NJ 08048Get directions →

Provider Business Mailing Address Details

Address
14 Westminster Dr
Lumberton, NJ 08048-5064
City
Lumberton
State
NJ
Zip
08048-5064
Phone Number
917-400-5108

License Information

License Number
26NJ15059000
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan C Jackson, PMHNP-BC?

The NPI number of Susan C Jackson, PMHNP-BC is 1619722972. It was assigned on April 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Susan C Jackson, PMHNP-BC?

Susan C Jackson, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15059000.

Where does Susan C Jackson, PMHNP-BC practice?

The practice location is 14 Westminster Dr, Lumberton, NJ 08048-5064. The office can be reached at 917-400-5108 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619722972 directly on the NPPES registry website.

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