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

Eileen Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1124555271

Eileen Jackson, NP is a Nurse Practitioner in Commack, New York. Qualified in 2017, 9 years ago. Practices with Memorial Radiation Oncology Group, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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

650 Commack Rd
Commack, NY 11725-5404
Phone: (631) 623-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341567 (NY)

Record details

NPI number1124555271
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 20, 2017
Last updated in NPPESMay 20, 2017
Mailing address255 McKinley Ter, Centerport, NY 11721-1311

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Radiation Oncology Group — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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