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

Mr. Christopher John Jackson, AGACNP

Individual provider Adult Health Nurse Practitioner · NPI 1427612480

Mr. Christopher John Jackson, AGACNP is a Nurse Practitioner in Livonia, Michigan. Qualified in 2019, 7 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

8921 Harvey St
Livonia, MI 48150-3518
Phone: (313) 815-6047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704297208 (MI)

Record details

NPI number1427612480
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address8921 Harvey St, Livonia, MI 48150-3518

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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