Nurse Practitioner, Pediatrics
AMANDA JACKSON CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1205460045 · enumerated 2020-03-02 · record updated 2020-03-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 940 W MOUNT VERNON ST STE 220, NIXA, MO, 65714-9613 (417) 724-5437 Google Maps Apple Maps OpenStreetMap
- Mailing address 940 W MOUNT VERNON ST STE 220, NIXA, MO, 65714-9613 (417) 724-5437 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 2011022742 MO
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2020008008 MO
In this directory
Locations and evidence
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Practice location
NIXA, MO, 657149613
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.