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

Mrs. Jami Victoria Davis-Jackson, ACNPBC

Individual provider Acute Care Nurse Practitioner · NPI 1629243886

Mrs. Jami Victoria Davis-Jackson, ACNPBC is a Nurse Practitioner in Alton, Illinois. Graduated from St Louis College of Physicians and Surgeons in 2005, 21 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
21
Trained at
St Louis College of Physicians and Surgeons
Licensed in
IL, MO
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone: (314) 317-0600
Fax: (314) 317-0606
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209-007873 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2001031602 (MO)

Record details

NPI number1629243886
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPBC
Sole proprietorNo
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 22, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2005 (21 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Alton