IndividualActive
Amber Jackson, NP
NPI 1801263413 · Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1801263413
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209013205 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 W. Park St.
Gastroenterology
Urbana, IL 61801-2500
Phone: (217) 383-3610
Fax: (217) 326-2704
Approximate (ZIP-level) locationGet directions
Mailing address
611 W. Park St.
Urbana, IL 61801-2500
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2017-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.