Kathleen J. Jackson, RN-APN

Individual provider Adult Health Nurse Practitioner · NPI 1073619037

Kathleen J. Jackson, RN-APN is a Nurse Practitioner in Taos, New Mexico. Qualified in 1989, 37 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying: 37
Licensed in: NJ, PA
In the registry since: 2006
Specialties on file: 3

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Practice location Address checks out

1331 Maestas Rd
Taos, NM 87571-6268
Phone: (575) 776-7806
Fax: (575) 224-3348

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

315 Route 70 E Ste A, Cherry Hill, NJ 08034-2408 — (856) 375-6240
602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 — (856) 946-5180
602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 — (856) 946-5180
128 Route 70 Ste 1, Medford, NJ 08055-2371 — (609) 367-0900
401 Young Ave Ste 180, Moorestown, NJ 08057-3139 — (856) 291-8600
555 High St Ste 16a, Mount Holly, NJ 08060-1084 — (609) 444-5610
239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 — (856) 341-8200
158 Route 73 Ste B, Voorhees, NJ 08043-9539 — (856) 247-7230

Specialties & licences

Family Nurse Practitioner (primary)	Taxonomy 363LF0000X · Licence 26NN06425500 (NJ)
Adult Health Nurse Practitioner	Taxonomy 363LA2200X · Licence 26NN06425500 (NJ)
Nurse Practitioner	Taxonomy 363L00000X · Licence TP001754C (PA)

Record details

NPI number	1073619037
Entity type	Individual (Type 1)
Gender	Female
Credentials	RN-APN
Sole proprietor	No
NPI enumerated	September 16, 2006
Last updated in NPPES	July 8, 2026
Certification date	July 8, 2026

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	1989 (37 years in practice)
Group practice	Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	6 on file with Medicare