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

Brian Jeffry Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1174080030

Brian Jeffry Jackson, NP is a Nurse Practitioner in Newport Beach, California. Qualified in 2018, 8 years ago. Practices with Hospitalist Medicine Physicians of New Mexico - Clovis LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone: (949) 760-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Marquette Pl Apt 4c, San Diego, CA 92106-1059 — (541) 550-6572

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95010531 (CA)

Record details

NPI number1174080030
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESOctober 3, 2019

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 Hospitalist Medicine Physicians Of New Mexico - Clovis Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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