Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Angelique Mechelle Jackson, RN, APN-BC

Individual provider Family Nurse Practitioner · NPI 1144599366

MS. Angelique Mechelle Jackson, RN, APN-BC is a Nurse Practitioner in Columbia, Tennessee. Qualified in 2012, 14 years ago. Practices with Dhhs IHS Phoenix Area, a 36-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2011
What do these letters mean?
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

1410 Trotwood Ave
Columbia, TN 38401-4901
Phone: (678) 754-7728
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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 16345 (TN)

Record details

NPI number1144599366
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , APN-BC
Sole proprietorNo
NPI enumeratedDecember 16, 2011
Last updated in NPPESJanuary 13, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dhhs Ihs Phoenix Area — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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