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

Lonnie Jerome Jackson

Individual provider Internal Medicine Physician · NPI 1851259071

Lonnie Jerome Jackson is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

975 E 3rd St
Chattanooga, TN 37403-2173
Phone: (423) 778-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34168 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 41251 (TN)

Record details

NPI number1851259071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJuly 18, 2026
Certification dateJuly 18, 2026
Mailing address624 Belle Vista Ave, Chattanooga, TN 37411-2801

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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