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

Amanda Jackson, CPNP

Individual provider Registered Nurse · NPI 1205460045

Amanda Jackson, CPNP is a Registered Nurse in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

940 W Mount Vernon St Ste 220
Nixa, MO 65714-9613
Phone: (417) 724-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2020008008 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2011022742 (MO)

Record details

NPI number1205460045
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613

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