Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisia Jackson, APRN

Individual provider Family Nurse Practitioner · NPI 1104436146

Alisia Jackson, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2018, 8 years ago. Practices with Gim of Kentucky PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
8
Licensed in
IN, KY
In the registry since
2020
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

9204 Taylorsville Rd Ste 217
Louisville, KY 40299-1789
Phone: (502) 709-0430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16605 Chestnut Glen Pl, Louisville, KY 40245-6121 — (502) 709-0430

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3013490 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71011085A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 3013490 (KY)

Record details

NPI number1104436146
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 4, 2020
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gim Of Kentucky Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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