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

Mrs. Candice Grace Jackson, NP-C

Individual provider Family Nurse Practitioner · NPI 1720722929

Mrs. Candice Grace Jackson, NP-C is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2021, 5 years ago. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2022
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2001 E South Blvd Ste 101
Montgomery, AL 36116-2463
Phone: (334) 747-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-156024 (AL)

Record details

NPI number1720722929
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 24, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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