Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carolyn Jackson, AGACNP

Individual provider Nurse Practitioner · NPI 1609780907

Carolyn Jackson, AGACNP is a Nurse Practitioner in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
3

Practice location Address checks out

2108 N St Ste N
Sacramento, CA 95816-5712
Phone: (707) 249-1203
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95039733 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95039733 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95039733 (CA)

Record details

NPI number1609780907
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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