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

Douglas Jackson, NP

Individual provider Nurse Practitioner · NPI 1184277857

Douglas Jackson, NP is a Nurse Practitioner in Richmond, Indiana. Qualified in 2019, 7 years ago. Practices with Sinclair Physician Services, LLC, a 149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
7
Licensed in
IN, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone: (765) 983-3000
Fax: (765) 935-8944
Show map & directions

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

Additional practice locations (1)

  • 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 — (937) 294-3611

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0027550 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 71009145A (IN)

Record details

NPI number1184277857
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1100 Reid Parkway, Medical Staff Service, Richmond, IN 47374

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sinclair Physician Services, Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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