Polly Jackson, AG-ACNP
NPI 1790150688 · Acute Care Nurse Practitioner · Washington, MO
Polly Jackson, AG-ACNP is a Acute Care Nurse Practitioner provider in Washington, MO (NPI 1790150688).
Provider details
- NPI number
- 1790150688
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2015041436 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 615 S New Ballas RdSaint Louis, MO 63141-8221Phone: (314) 251-0175
Registry dates
- Enumerated
- 2015-12-03
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Frequently asked questions
- What is Polly Jackson's NPI number?
- Polly Jackson's National Provider Identifier (NPI) is 1790150688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Polly Jackson's specialty?
- Polly Jackson is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Polly Jackson located?
- Polly Jackson's practice location on file with NPPES is 901 E 5th St, Washington, MO 63090-3127.
- What is Polly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Polly Jackson is (636) 239-8231.
- Is Polly Jackson's NPI active?
- Yes — Polly Jackson's NPI (1790150688) is active in the NPPES registry as of the last update on 2022-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.