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

Justin Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1427642636

Justin Jackson, NP is a Nurse Practitioner in Wytheville, Virginia. Qualified in 2020, 6 years ago. Practices with Carilion Giles Community Hospital, a 220-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
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

1375 W Ridge Rd
Wytheville, VA 24382
Phone: (276) 228-8686
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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 0024180798 (VA)

Record details

NPI number1427642636
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 28, 2021
Last updated in NPPESNovember 22, 2022
Certification dateMay 10, 2022
Mailing address1375 W Ridge Rd, Wytheville, VA 24382-5011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carilion Giles Community Hospital — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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