Summer Jackson, NP
Nurse Practitioner · Bellwood, IL
Practice location
531 Linden AveBellwood, IL 60104-1854
- Phone
- (773) 416-9936
NPI record
- NPI
- 1790432458
- Entity type
- Individual (Type 1)
- Enumeration date
- March 3, 2022
- Last updated
- March 15, 2025
- Certified
- March 15, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
209025419 | IL |
| Nurse Practitioner | 363L00000X |
2000357580 | IL |
About Summer Jackson
Summer Jackson, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 531 Linden Ave, Bellwood, IL 60104-1854. The NPI number 1790432458 was assigned on March 3, 2022 and the record was last updated on March 15, 2025.
Summer Jackson lists 2 licenses in the registry: #209025419 (IL) for Nurse Practitioner; #2000357580 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Summer Jackson, NP?
The NPI number is 1790432458.
What is the phone number of Summer Jackson?
The phone number listed for the practice location is (773) 416-9936.
Where is Summer Jackson located?
531 Linden Ave, Bellwood, IL 60104-1854.
What is the taxonomy code for Summer Jackson?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.