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

Individual provider Family Nurse Practitioner · NPI 1457993750

Fredericka Jackson is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2019, 7 years ago. Practices with Her Story LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
7
Licensed in
NE
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4141 N 156th St Ste 202
Omaha, NE 68116-1427
Phone: (402) 242-5078
Fax: (402) 508-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 112991 (NE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 112991 (NE)

Record details

NPI number1457993750
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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 Her Story Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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