Doctor profile · Federal record

Dr. Nusha Jackson, FNP

Family Nurse Practitioner · Ambulatory Care Registered Nurse · Chicago, IL

  • NPI 1104462738
  • 7 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1656 N. Wells
Chicago, IL 606143224
(312) 643-1333
Mailing address
939 W Madison St Apt 307
Chicago, IL 606072657

Credentials & registration

NPPES · NUCC
NPI registered
November 2019 — 7 yrs on file
Profile last updated
September 16, 2020
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Illinois #209.021965 · Illinois #041434377

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104462738. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$170
Transactions
5
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Galderma Laboratories, L.P. 3 $117.03
ABBVIE INC. 1 $27.77
REVANCE THERAPEUTICS, INC. 1 $25.19

By nature of payment

Food and Beverage
$170

Frequently asked questions

Auto-generated from federal data
What is Dr. Nusha Jackson's medical specialty?
Dr. Nusha Jackson practices Family Nurse Practitioner in Chicago, IL.
Where does Dr. Nusha Jackson practice?
Dr. Nusha Jackson practices at 1656 N. Wells, Chicago, IL 606143224. Office phone: 3126431333.
What is Dr. Nusha Jackson's NPI?
Dr. Nusha Jackson's National Provider Identifier (NPI) is 1104462738, issued by NPPES.