Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Caprice Jackson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619722972

Susan Caprice Jackson, PMHNP-BC is a Nurse Practitioner in Lumberton, New Jersey. Qualified in 2023, 3 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

14 Westminster Dr
Lumberton, NJ 08048-5064
Phone: (917) 400-5108
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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 26NJ15059000 (NJ)

Record details

NPI number1619722972
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedApril 20, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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