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

Mary Louise Jackson, NP

Individual provider Nurse Practitioner · NPI 1205942927

Mary Louise Jackson, NP is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 1992, 34 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
34
Licensed in
NC
In the registry since
2006
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

1500 Physicians Dr
Wilmington, NC 28401-7356
Phone: (910) 662-9500
Fax: (910) 662-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 584 Hospital Dr Ne, Bolivia, NC 28422-0019 — (910) 754-5453
  • 800 Jefferson St, Whiteville, NC 28472-3710 — (910) 642-8164
  • 1415 Physicians Dr, Wilmington, NC 28401-7338 — (910) 662-9500
  • 1960 S 16th St, Wilmington, NC 28401-6676 — (910) 754-5453
  • 5145 S College Rd, Wilmington, NC 28412-2207 — (910) 754-5453

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 900188 (NC)

Record details

NPI number1205942927
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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