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

Lisa M Jackson, ANP

Individual provider Nurse Practitioner · NPI 1770775827

Lisa M Jackson, ANP is a Nurse Practitioner in Anchorage, Alaska. Qualified in 2007, 19 years ago. Practices with Providence Health and Services- Washington, a 220-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
19
Licensed in
AK
In the registry since
2007
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Practice location Address checks out

6307 Debarr Rd Ste C
Anchorage, AK 99504-1783
Phone: (907) 333-7425
Fax: (907) 333-7719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 322 (AK)

Record details

NPI number1770775827
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESOctober 18, 2007
Mailing address6307 Debarr Rd Ste C, Anchorage, AK 99504-1783

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services- Washington — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Anchorage