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

Mrs. Bernice Jackson, NP

Individual provider Adult Health Nurse Practitioner · NPI 1194493932

Mrs. Bernice Jackson, NP is an Adult Health Nurse Practitioner in Bay Shore, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
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

212 5th Ave
Bay Shore, NY 11706-6408
Phone: (718) 299-7295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 680 Route 211 E Ste 3b367, Middletown, NY 10941 — (914) 882-0618

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405214 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 310387 (NY)

Record details

NPI number1194493932
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2021
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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