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

MS. Michelle Jackson, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093023509

MS. Michelle Jackson, NP is a Nurse Practitioner in San Diego, California. Qualified in 2010, 16 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
Specialties on file
2
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

5434 Olive St Unit A
San Diego, CA 92105-5054
Phone: (619) 840-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21621 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 21621 (CA)

Record details

NPI number1093023509
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 17, 2010
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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