Provider Demographics
NPI:1043943962
Name:JACKSON, ALISON MICHELLE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MICHELLE
Last Name:JACKSON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6781 W YALE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-4075
Mailing Address - Country:US
Mailing Address - Phone:515-577-3659
Mailing Address - Fax:
Practice Address - Street 1:11355 S PARKER RD UNIT 103
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7705
Practice Address - Country:US
Practice Address - Phone:720-974-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0997720-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily