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

Tanagra Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1912620022

Tanagra Jackson, FNP is a Family Nurse Practitioner in Nuevo, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
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.

See every abbreviation used in this directory →

Practice location Address checks out

30427 Delta Dr
Nuevo, CA 92567-9470
Phone: (773) 530-5217
Show map & directions

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

Additional practice locations (1)

  • 200 C St, Patterson, CA 95363-2701 — (209) 722-4842

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95021964 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95021964 (CA)

Record details

NPI number1912620022
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address30427 Delta Dr, Nuevo, CA 92567-9470