Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacob Jackson, APRN, CNP

Family Nurse Practitioner in Elk City, OK · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134629405

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Registry record

Entity type Individual (Type 1)

Name Jacob Jackson

Credential APRN, CNP

Sex Male

Practice address 1800 W 1st St Ste 105b, Elk City, OK, 73644

Phone (580) 225-2518

Fax (580) 225-3167

Enumeration date Feb 13, 2018

Last updated in NPPES Mar 26, 2020

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 113330 (OK) Primary

163WM0705X Medical-Surgical Registered Nurse Nursing Service Providers · License 113330 (OK) Secondary

APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

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 → Validate an NPI →

Frequently asked questions

Where does Jacob Jackson practice?

The practice location on file with NPPES is in Elk City, OK. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jacob Jackson?

The National Provider Identifier (NPI) for Jacob Jackson is 1134629405, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-26.