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

MS. Anitra L Jackson, NP

Individual provider Medical-Surgical Registered Nurse · NPI 1497718811

MS. Anitra L Jackson, NP is a Nurse Practitioner in Saint Paul, Minnesota. Graduated from University of Wisconsin School of Medicine in 1999, 27 years ago. Practices with Rehabilitation Physicians of Georgia, PC, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
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

310 Smith Ave N
Saint Paul, MN 55102-2393
Phone: (952) 843-4333
Fax: (952) 843-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence R1308387 (MN)

Record details

NPI number1497718811
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Rehabilitation Physicians Of Georgia, P.C. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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