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

Tanagra Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1912620022

Tanagra Jackson, FNP is a Family Nurse Practitioner in Nuevo, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

30427 Delta Dr
Nuevo, CA 92567-9470
Phone: (773) 530-5217
Show map & directions

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

Additional practice locations (1)

  • 200 C St, Patterson, CA 95363-2701 — (209) 722-4842

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95021964 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95021964 (CA)

Record details

NPI number1912620022
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024