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

Michelle Lynn Jackson, APRN

Individual provider Family Medicine Physician · NPI 1790347722

Michelle Lynn Jackson, APRN is a Nurse Practitioner in Peoria, Illinois. Qualified in 2018, 8 years ago. Practices with Hammond Henry Dist Hospital, a 41-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone: (309) 691-9110
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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 209019281 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 209.019281 (IL)

Record details

NPI number1790347722
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 29, 2019
Last updated in NPPESDecember 14, 2024
Certification dateDecember 14, 2024
Mailing address8914 N Knoxville Ave, Peoria, IL 61615-1410

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hammond Henry Dist Hospital — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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