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

Nakisa J Jackson

Individual provider Licensed Practical Nurse · NPI 1417882200

Nakisa J Jackson is a Licensed Practical Nurse in Montgomery, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2026

Practice location Address checks out

300 Twining St Bldg 760
Montgomery, AL 36112-6027
Phone: (334) 953-0199
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 2-065789 (AL)

Record details

NPI number1417882200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1831 Cotton Blossom Way, Prattville, AL 36067-6631

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