Individual
JESSICA R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946-2718
(618) 252-0999
(618) 252-2032
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209021074
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209021074
IL
Other
Enumeration date
03/23/2020
Last updated
08/01/2025
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