Dr. Grace Nightingale Cortez Jackson, M.D.
Dr. Grace Nightingale Cortez Jackson is a Anatomic Pathology & Clinical Pathology Physician provider (Pathology) practicing in Austin, TX, registered in the NPPES registry with NPI 1104020775 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104020775 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Grace Nightingale Cortez Jackson |
| Credential | M.D. |
| Sex | Female |
| Practice address | 3445 EXECUTIVE CENTER DRIVE, SUITE 250, Austin, TX, 78731 |
| Phone | 5125794000 |
| Fax | 5124392814 |
| Enumeration date | 2007-06-14 |
| Last updated in NPPES | 2014-10-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0101X | Anatomic Pathology Physician | Secondary | BP1-0016584 | TX |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | N1690 | TX |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204459601 | Medicaid | TX | — |
Copy-ready billing details
Provider: Grace Jackson, M.D. NPI: 1104020775 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 3445 EXECUTIVE CENTER DRIVE, SUITE 250, Austin, TX, 78731
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982642211 | Min Wang | Individual | Clinical Pathology/Laboratory Medicine Physician | Austin, TX |
| 1376675371 | Amanda Rivera-Begeman | Individual | Anatomic Pathology Physician | Austin, TX |
| 1083838809 | Christine Burgess | Individual | Clinical Pathology/Laboratory Medicine Physician | Austin, TX |
| 1205032489 | Douglas Warden | Individual | Anatomic Pathology & Clinical Pathology Physician | Austin, TX |
| 1679763833 | Chandra Krishnan | Individual | Anatomic Pathology & Clinical Pathology Physician | Austin, TX |
| 1578881413 | Jennifer Rushton | Individual | Anatomic Pathology & Clinical Pathology Physician | Austin, TX |
| 1962795740 | Rodolfo Nudelman | Individual | Anatomic Pathology & Clinical Pathology Physician | Austin, TX |
| 1740799345 | Natalie Knox | Individual | Marriage & Family Therapist | Austin, TX |
Verify this record
Cross-check NPI 1104020775 against the authoritative CMS record: view Dr. Grace Nightingale Cortez Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1104020775 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-15.