Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eileen Jackson, ACNP-BC, CRNFA

Individual provider Registered Nurse First Assistant · NPI 1295811511

Eileen Jackson, ACNP-BC, CRNFA is a Nurse Practitioner in Tucson, Arizona. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

11957 E Summer Trl
Tucson, AZ 85749-9313
Phone: (520) 444-8940
Fax: (520) 760-6690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN-075070 (AZ)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence RN-075070 (AZ)

Record details

NPI number1295811511
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC , CRNFA
Sole proprietorYes
NPI enumeratedOctober 29, 2006
Last updated in NPPESDecember 31, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tucson