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

Taylor Buchanan Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1205292455

Taylor Buchanan Jackson, FNP is a Nurse Practitioner in San Diego, California. Graduated from University of Maryland School of Medicine in 2015, 11 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Maryland and North Carolina.

Years since qualifying
11
Trained at
University of Maryland School of Medicine
Licensed in
CA, MD, NC
In the registry since
2016
Specialties on file
3
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

4510 Executive Dr Ste 215
San Diego, CA 92121-3023
Phone: (858) 657-6624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Carolina Bay Dr Ste 100, Wilmington, NC 28403-2046 — (910) 763-9833

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017962 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R190900 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95003121 (CA)

Record details

NPI number1205292455
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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