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

Nicole Jackson, FNP, PMHNP

Individual provider Nurse Practitioner · NPI 1366974628

Nicole Jackson, FNP, PMHNP is a Nurse Practitioner in Dover, Delaware. Qualified in 2017, 9 years ago. Practices with A Peaceful Place Integrated Care, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware.

Years since qualifying
9
Licensed in
DE
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

200 Banning St Ste 260
Dover, DE 19904-3489
Phone: (302) 224-1400
Fax: (302) 224-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence L80010226 (DE)
Nurse Practitioner Taxonomy 363L00000X · Licence LG0001029 (DE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence LG0001029 (DE)

Record details

NPI number1366974628
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , PMHNP
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice A Peaceful Place Integrated Care — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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