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

Shaniqua Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1801562517

Shaniqua Jackson, FNP is a Nurse Practitioner in Oak Lawn, Illinois. Qualified in 2021, 5 years ago. Practices with Bespoke Psychiatry, a 49-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-8000
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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 209.023822 (IL)

Record details

NPI number1801562517
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 22, 2021
Last updated in NPPESSeptember 4, 2021
Certification dateSeptember 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bespoke Psychiatry — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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