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

Warren Orlando Jackson, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1548718448

Warren Orlando Jackson, AGNP is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2016, 10 years ago. Practices with Galen Inpatient Physicians PC, a 1,031-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone: (314) 317-0600
Fax: (314) 317-0606
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2016024362 (MO)

Record details

NPI number1548718448
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESSeptember 20, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Galen Inpatient Physicians Pc — 1031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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