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

Rasheca S Jackson, FNP/PMHNP

Individual provider Family Nurse Practitioner · NPI 1134773229

Rasheca S Jackson, FNP/PMHNP is a Nurse Practitioner in Oak Park, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1515 N Harlem Ave Ste 101
Oak Park, IL 60302-1205
Phone: (708) 948-7039
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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 PMH11250029 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277001472 (IL)

Record details

NPI number1134773229
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP/PMHNP
Sole proprietorYes
NPI enumeratedJuly 28, 2019
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Oak Park