Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jordan Tyler Jackson, MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program in Edmond, OK · enumerated 2020.

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

National Provider Identifier

1891315222

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Registry record

Entity type Individual (Type 1)

Name Jordan Tyler Jackson

Credential MEDICAL STUDENT

Sex Male

Practice address 19512 Crest Ridge Dr, Edmond, OK, 73012

Phone (918) 367-8128

Enumeration date Apr 27, 2020

Last updated in NPPES Apr 27, 2020

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care 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

What is the NPI number for Jordan Jackson?

The National Provider Identifier (NPI) for Jordan Jackson is 1891315222, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jordan Jackson practice?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-27.