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

Susan M Jackson, FNP

Individual provider Registered Nurse · NPI 1699889949

Susan M Jackson, FNP is a Nurse Practitioner in Utica, New York. Qualified in 1998, 28 years ago. Practices with Primary Care Metabolic Disorders Medical Practice PLLC, a 2-clinician group and works from 3 locations. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

1450 Champlin Ave
Utica, NY 13502-3662
Phone: (315) 624-9000
Fax: (315) 624-9003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1703 Genesee St, Utica, NY 13501 — (315) 736-0155
  • 2305 Genesee St, Utica, NY 13501-6107 — (315) 624-9000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 332294 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 264949 (NY)

Record details

NPI number1699889949
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020
Mailing addressPo Box 8155, Utica, NY 13505

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Primary Care Metabolic Disorders Medical Practice Pllc — 2 clinicians
Accepts Medicare assignment Not indicated

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