Individual
MRS. PATRICIA NICHOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
6701 US HIGHWAY 34, OSWEGO, IL 60543-9129
(630) 646-4255
(630) 548-5313
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.001274
IL
363LF0000X
Family Nurse Practitioner
209009753
IL
Other
Enumeration date
08/21/2012
Last updated
02/04/2026
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