Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Amanda Jackson, CPNP

Pediatric Nurse Practitioner in Nixa, MO · enumerated 2020.

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

National Provider Identifier

1205460045

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Registry record

Entity type Individual (Type 1)

Name Amanda Jackson

Credential CPNP

Sex Female

Practice address 940 W Mount Vernon St Ste 220, Nixa, MO, 65714

Phone (417) 724-5437

Enumeration date Mar 2, 2020

Last updated in NPPES Mar 11, 2020

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 2011022742 (MO) Secondary

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2020008008 (MO) Primary

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 Amanda Jackson practice?

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

What is the NPI number for Amanda Jackson?

The National Provider Identifier (NPI) for Amanda Jackson is 1205460045, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Kody Finstad Pediatrics Physician · Nixa, MO NPI 1932396777

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-11.