Doctor profile · Federal record
Dr. Dani Jackson, PNP
Pediatric Nurse Practitioner · Saint Louis, MO
- NPI 1104563188
- 4 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Childrens Pl, Div Ped Nephrology
Saint Louis, MO 631101002
(314) 454-6043
fax (888) 463-6898 - Mailing address
-
Po Box 7412011
Chicago, IL 606742011
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- April 17, 2025
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Missouri #2022005949
- Medicaid
- MO #420111583
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104563188. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bluebird Bio, INC. | 1 | $17.18 |
By nature of payment
Frequently asked questions
What is Dr. Dani Jackson's medical specialty?
Dr. Dani Jackson practices Pediatric Nurse Practitioner in Saint Louis, MO.
Where does Dr. Dani Jackson practice?
Dr. Dani Jackson practices at 1 Childrens Pl, Saint Louis, MO 631101002. Office phone: 3144546043.
What is Dr. Dani Jackson's NPI?
Dr. Dani Jackson's National Provider Identifier (NPI) is 1104563188, issued by NPPES.