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

Mrs. Jean Z Jackson, PMHNP-BC, RN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407530579

Mrs. Jean Z Jackson, PMHNP-BC, RN is a Nurse Practitioner in Hicksville, New York. Qualified in 2023, 3 years ago. Practices with Central Nassau Guidance and Counseling Services, Inc, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

950 S Oyster Bay Rd
Hicksville, NY 11801-3511
Phone: (516) 822-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405610 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 326644-1 (NY)

Record details

NPI number1407530579
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , RN
Sole proprietorYes
NPI enumeratedJune 9, 2023
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Central Nassau Guidance And Counseling Services, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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