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

Elizabeth Detweiler Jackson, APRN

Individual provider Registered Nurse · NPI 1902420466

Elizabeth Detweiler Jackson, APRN is a Nurse Practitioner in Norwich, Connecticut. Qualified in 2015, 11 years ago. Practices with Hartford Healthcare Medical Group Inc, a 234-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

42 Town St Ste 300
Norwich, CT 06360-2339
Phone: (860) 886-0567
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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 009070 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 132311 (CT)

Record details

NPI number1902420466
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hartford Healthcare Medical Group Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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