Doctor profile · Federal record
Dr. Taylor Jackson, FNP
Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · San Diego, CA
- NPI 1205292455
- Accepts Medicare
- 11 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4510 Executive Dr Ste 215
San Diego, CA 921213023
(858) 657-6624 - Additional location
-
510 Carolina Bay Dr Ste 100
Wilmington, NC 284032046
(910) 763-9833
fax (910) 763-5166 - Mailing address
-
911 Saxon Hill Dr
Cockeysville, MD 210302905
Credentials & registration
- NPI registered
- January 2016 — 10 yrs on file
- Profile last updated
- July 24, 2024
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (3)
- North Carolina #5017962 · Maryland #R190900 · California #95003121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205292455. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US INC | 1 | $23.69 |
By nature of payment
Frequently asked questions
What is Dr. Taylor Jackson's medical specialty?
Dr. Taylor Jackson practices Nurse Practitioner in San Diego, CA.
Where does Dr. Taylor Jackson practice?
Dr. Taylor Jackson practices at 4510 Executive Dr Ste 215, San Diego, CA 921213023. Office phone: 8586576624.
What is Dr. Taylor Jackson's NPI?
Dr. Taylor Jackson's National Provider Identifier (NPI) is 1205292455, issued by NPPES.
Does Dr. Taylor Jackson accept Medicare assignment?
Yes. Dr. Taylor Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.