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

Susan Marie Jackson, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1689914087

Susan Marie Jackson, CNP is an Adult Health Nurse Practitioner in Cincinnati, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2013.

Licensed in
KY, OH
In the registry since
2013
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4805 Montgomery Rd Ste 410
Cincinnati, OH 45212
Phone: (513) 559-1222
Fax: (513) 559-1235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence CNP.13953 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1135253 (KY)
Registered Nurse Taxonomy 163W00000X · Licence RN.259883-COA1 (OH)

Record details

NPI number1689914087
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2013
Last updated in NPPESMay 17, 2018

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