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

Jackson Son

Individual provider Family Nurse Practitioner · NPI 1265291272

Jackson Son is a Nurse Practitioner in Annandale, Virginia. Qualified in 2021, 5 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

5039 Americana Dr
Annandale, VA 22003-5068
Phone: (571) 524-0881
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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 0024189383 (VA)

Record details

NPI number1265291272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2024
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address5039 Americana Dr, Annandale, VA 22003-5068

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Annandale