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

MS. Judith Jackson, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1821055880

MS. Judith Jackson, NURSEPRACTITIONER is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2000, 26 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1395
Phone: (612) 672-2288
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R1144729 (MN)

Record details

NPI number1821055880
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 26, 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 schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minneapolis