Angel Jackson
Primary Care Nurse Practitioner · Charleston, WV
Angel Jackson is a primary care nurse practitioner with a practice address in Charleston, West Virginia, and NPI 1407560402, issued on Jan 13, 2023. Check the license (West Virginia 123472, as entered in NPPES) with the West Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Angel Jackson
- Primary taxonomy
- Primary Care Nurse Practitioner 363LP2300X
- License numbers
- 123472 WV
91990 WV
Self-reported in NPPES; status is on the state search - Practice location
- 400 S Ruffner RD Ste 11, Charleston, WV 25314
- Phone
- (304) 720-9595
- Enumerated
- Jan 13, 2023
- Record last updated
- Jul 29, 2026
- Entity
- Type 1 · individual
8 nearest primary care nurse practitioner records → All 56 in West Virginia → Look up another NPI →
Verify Angel Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich West Virginia board licenses this profession
Search for license 123472Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Angel Jackson among 56 primary care nurse practitioner records in West Virginia
Angel Jackson is one of 56 primary care nurse practitioner records with a practice address in West Virginia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 68% of them.
- NPI issued2023 · 68% of these records are older, 20% newer
- In a Medicare fileNo · 79% of these records are
- In the CMS Doctors and Clinicians fileNo · 64% of these records are
- Record last updated2026 · 25% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP2300X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Primary Care Nurse Practitioner providers in West Virginia
There are 56 primary care nurse practitioner records in West Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 56 in West Virginia → Every provider in Charleston → Primary Care Nurse Practitioner nationwide →
The 8 primary care nurse practitioner records with the nearest ZIP codes
- Molly White, NPCharleston, WV 253111912483447
- Caitlin Johnson, APRN, FNP-BCSouth Charleston, WV 253091477114221
- Kara Myers, APRN-CNPSouth Charleston, WV 253091578293767
- Robert Phillips, FNP- BCSouth Charleston, WV 253091891419883
- Victoria NottinghamCharleston, WV 253041891534582
- Rachel Monceaux, APRNSouth Charleston, WV 253031659254662
- Erin Randolph, APRNRipley, WV 252711508235755
- Richard SutherlandMartinsburg, WV 254011588267488
Common questions
What is Angel Jackson's NPI number?
Angel Jackson's National Provider Identifier (NPI) is 1407560402, issued on Jan 13, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Angel Jackson located?
The NPPES record lists a practice address at 400 S Ruffner RD Ste 11, Charleston, WV, 25314. Phone: (304) 720-9595. Providers update this record themselves, so call before visiting.
How can I verify Angel Jackson's license?
NPPES lists West Virginia license number 123472, as entered by the provider. Search the West Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.