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

Mrs. Kristie Lynn Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1053407817

Mrs. Kristie Lynn Jackson, NP is a Nurse Practitioner in Blacksburg, Virginia. Qualified in 2006, 20 years ago. Practices with Wildwood Emergency Group, LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2006
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

3700 S Main St
Blacksburg, VA 24060
Phone: (540) 953-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024167104 (VA)

Record details

NPI number1053407817
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wildwood Emergency Group, Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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