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

Shakeyah Jackson

Individual provider Family Nurse Practitioner · NPI 1467151902

Shakeyah Jackson is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2020, 6 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2023
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Practice location Address checks out

4301 W Markham St # 547-05
Little Rock, AR 72205-7101
Phone: (501) 686-6086
Fax: (501) 686-5328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 125410 (AR)

Record details

NPI number1467151902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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