Nurse Jackie season 4 Cast and Production Credits Cast Credits



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Nurse Jackie

SEASON 4
Cast and Production Credits
Cast Credits

Jackie Peyton ……………………………………………………………………………….. EDIE FALCO

Dr. Ellie O’Hara.….……………………………………………………………………………..EVE BEST

Zoey Barkow.…………………………………………………………………….……..MERRITT WEVER

Eddie Walzer……………………………………………………………………………...PAUL SCHULZE

Kevin……………………………………………………………………….................DOMINIC FUMUSA

Mrs. Gloria Akalitus…………………………………………………………….ANNA DEAVERE SMITH

Grace……………………………………………………………………………………...…RUBY JERINS

Fiona………………………………………………………………………………MACKENZIE ALADJEM

Dr. Fitch Cooper…………………………………………………………………….…PETER FACINELLI


Special Guest Star
Miguel Cruz ……………………………………………………………………….BOBBY CANNAVALE
Guest Starring

Thor…………………………………………………………………………………...STEPHEN WALLEM

Sam……………………………………………………………….................................ARJUN GUPTA

Lenny………………………………………………………………………………....LENNY JACOBSON


Laurel Vargas…………………………………………………………………………. AIDA TURTURRO

Jules………………………………………………………………………………………..ROSIE PEREZ

John……………………………………………………………………………BILLY JOE ARMSTRONG

Dick Babbit…………………………………………………………………………………...JOEL GREY

Wayne…………………………………………………………………………..CARMELO ANTHONY

Kelly…………………………………………………………………………..GBENGA AKINNAGABE




Production Credits
Executive Producers……………………………………………..............................LINDA WALLEM

………………………………………………………………………………………………….LIZ BRIXIUS

……………………………………………………………………………..……………RICHIE JACKSON

…………………………………………………………………………………..CARYN MANDABACH

Producers…………………………….BRAD CARPENTER, LIZ FLAHIVE, MICHELE GIORDANO

Associate Producer/Technical Consultant………………………..JENNIFER A. CADY, RN, BSN

Associate Producer…………………………………….…...…………………….BARBARA MILETICH

Costume Designer……………………………………………………………………...INGRID PRICE

Music by……………………………………………………WENDY MELVOIN and LISA COLEMAN

Music Supervisor………………………………………………………………………..MICHAEL HILL



NURSE JACKIE is a co-production of Showtime and Lionsgate
Episode 401 – “Kettle Kettle Black Black”
Written By: Liz Brixius

Directed By: Linda Wallem
It’s business as usual at All Saints except for one small detail: The hospital has been purchased by the multi-national corporation, Quantum Bay, and the new director, the handsome, but serious, Mike Cruz, has arrived for his first day of work with a lengthy to-do list. Jackie is still separated from Kevin, who has moved to a new apartment, but regularly texts her, asking for a second chance. Eddie’s still in love with Jackie, but when she rebuffs his advances, he gets drunk and pays Kevin a visit, admitting to Kevin that he, Eddie, had been sleeping with Jackie for years. Kevin beats Eddie. Jackie meets a mysterious stranger in a church and the next thing you know, they’re getting high and making out in the Peyton residence, until the mysterious stranger dies of a heart attack. Jackie calls O’Hara to help with the situation, and standing amid the debris of addiction finally recognizes she has a problem and decides to enter rehab. Meanwhile at All Saints, Mike Cruz gives Akalitus an ultimatum: retire or go back on the floor as a nurse. Jackie and O’Hara stand outside of Wexler, the expensive rehab clinic, and O’Hara reveals that she is pregnant. Jackie enters rehab.

Episode 402 – “Disneyland Sucks”
Written By: Liz Brixius

Directed By: Linda Wallem
Jackie is detoxing in rehab. When she finally awakes, she meets her elderly roommate, an unfriendly klepto named Doris. Jackie goes to group therapy led by the kind, but tough rehab counselor, Laura. Meanwhile, back at All Saints, Akalitus is in scrubs and on the floor as a nurse. Mike Cruz’s innovations continue to irritate the whole staff, except for Coop. Particularly Cruz’s attention to avoiding lawsuits leads to him offending both Akalitus and O’Hara, who challenges Cruz, and deems him “no fun.” In rehab, Jackie escapes to a broom closet for some solitude only to find the 17-year-old Charlie (on his fourth rehab). Charlie calls her out on her group therapy story, and Jackie admits she lied about the first time she used drugs: It wasn’t because she hurt herself, it was the stress of having her first child. Jackie calls O’Hara and asks her to bring Grace to the rehab clinic. When they arrive, Jackie pretends to be working the front desk. Jackie hugs her daughter, but Grace is distant, and wearing thick black eyeliner. When Laura finds out about Jackie’s insubordination, she threatens to expel her from rehab. That night, Jackie realizes Doris is having a stroke, and she saves her life.

Episode 403 “The Wall”
Written By: Liz Flahive

Directed By: Seith Mann
Worried about Grace, Jackie leaves rehab early and returns to a very different All Saints. Her counselor warns her that it’s too early to leave but she goes against medical advice. On top of the

Quantam Bay takeover this is the first time she’s had to work sober. Almost instantly her nerves are rattled, even Coop hurts her feelings. Jackie takes refuge in Akalitus/O’Hara’s office. A



bitchy woman comes in with her girlfriend complaining of stomach pain only to find out she is having a heart attack. Zoey has second thoughts about her relationship with Lenny. Eddie tells Jackie he told Kevin about their affair. Kelly Slater gives Jackie a bag of Fentynal patches, which she almost uses but instead turns into Mike Cruz, ratting Kelly out. She then turns around and warns Kelly that he’s a wanted man and he quietly slips away. Jackie comes home to find that Grace has written a list of demands on her bedroom wall. She wants to live with her dad.

Episode 404 “Slow Growing Monsters”
Written By: Ellen Fairey

Directed By: Seith Mann
Jackie is blindsided when Grace reveals she knows about rehab and goes to Kevin’s to make sure he knows everything before hearing it from someone else. She is shocked to find a scantily clad woman lounging on his couch when she arrives but continues with her confession. Jackie calls Charlie and asks him to meet her at an AA meeting and he shows up drunk. Jules, a belligerent young woman turns out to be terminally ill with a rare disease and connects deeply with Jackie, inside and outside of the hospital. Thor and Coop give advice to a man who fears he has broken his penis. Mike Cruz docks Jackie’s pay for supplies she stole while he was giving his welcome speech. Jackie gets a ‘gift’ from Jules that threatens her sobriety. Kevin shows up at All Saints looking for answers. Charlie camps out on his father’s boat, “CRUZ CONTROL”.

Episode 405 – “One-Armed Jacks”
Written By: Rajiv Joseph

Directed By: Bob Balaban
Jackie, making pancakes for the girls, realizes too late that the girls aren’t even home—they’re with Kevin. At O’Hara’s apartment, she admits that she’s just not adjusting well to living alone and, against O’Hara’s advice, decides to call Kevin and invite him to lunch that day. Meanwhile, Zoey wants to move out of her mother’s place and is placing Old West WANTED posters around All Saints, looking for a roommate. Cruz is up to his usual innovations, and is now instituting uniform scrubs for the whole staff. Coop warns that this might be a bad idea, but volunteers to break the news to the staff anyway. A trauma comes in—a young man and his girlfriend jumped off a bridge handcuffed to each other in a lovers’ leap pact. Both arms were torn off, and the girl is dead. As Jackie helps out, she pops her shoulder out and has to seek help in the pharmacy, where Eddie helps her wrap it up. Later, as Jackie waits for Kevin at a café, a man serves her with divorce papers. Coop’s attempt to sell the new scrubs to the staff goes poorly. Jackie asks Zoey if she wants to live with her. Zoey, delighted, agrees. That night, Jackie makes them pancakes for dinner.

Episode 406 – “No-Kimono-Zone”
Written By: Liz Brixius

Directed By: Bob Balaban
Jackie wakes from a vivid dream about sex with Cruz and using again. Kevin, suing for full custody, prompts O’Hara to take action on Jackie’s behalf. Jackie and Zoey get accustomed to their new living situation at the Peyton home and ‘co-parenting’ duties. Cruz confronts Jackie about her lack of employment history and exhibits a human dimension while treating a trauma patient. Jackie deduces that her positive drug test was never recorded. Zoey gets engaged to Lenny, but losing her ring raises questions about their relationship and her feelings toward Coop. Jackie, O’Hara and Akalitus work as a team while treating a transgender teen. Coop grows persistent about his involvement with O’Hara’s unborn child. Jackie finds a pill from her old stash, gives it to O’Hara instead of popping it.

Episode 407 – “Day of the Iguana”
Written By: Wyndham Lewis

Directed By: Miguel Arteta
Jackie’s meets her high-powered divorce lawyer and is told to play hardball with Kevin, if she wants to keep her kids. Eddie becomes an unwilling participant in the Peyton divorce battle. Jackie keeps the others away while Cruz suffers a panic attack at work. Having a hard time breaking off her engagement to Lenny, Zoey surveys her co-workers for the right break-up strategy. A good-natured teacher demands an apology after suffering additional injuries at All Saints. Cruz, fearing a lawsuit, instructs the staff not to engage. Akalitus enlists the staff to participate in an elaborate charade when her former mentor, suffering from dementia, is admitted as a patient. Jackie accidentally ingests Vicodin, but is determined to stay sober. Coop furthers his case with O’Hara, to be part of her child’s life. Jackie comes to Charlie’s aid, following his arrest and finds out that he is Cruz’ son.

Episode 408 – “Chaud Froid”
Written By: Liz Flahive

Directed By: Miguel Arteta
Jackie comes clean to Cruz about rehab, while they tend to an intoxicated Charlie. Charlie bargains with Cruz for Jackie’s job, then returns to rehab. When he uncovers a history of All Saints employees facilitating Jackie’s drug habit, Cruz exacts revenge by firing several of her closest colleagues. Faulty air conditioning puts the entire staff on edge. An 80 year old admitted for a tonsillectomy shares a bay with a 20 year-old candidate for hip-replacement. Eddie is deposed by Kevin’s lawyer and then offers crucial information supporting Jackie’s case. Following Zoey’s break-up, Lenny announces he is heading to Europe. Coop accompanies O’Hara to her OB/GYN appointment where she finally leans on him for a little support. Following a confrontation between Kevin and Jackie, Zoey offers to move out. Jackie asks

her to stay, knowing that her sobriety is tenuous.



Episode 409 - "Are Those Feathers?"
Written By: Liz Brixius & Liz Flahive

Directed By: Randall Einhorn
Jackie is upset that Eddie and Akalitus are fired from All Saints. Grace argues with Jackie about enrolling in a new public school. Cruz claims Jackie will mess up again. O'Hara's hemorrhage

patient needs surgery but wants to leave to pick up her father, who slipped and fell. Eddie and Akalitus are pleasantly surprised with the pay from their severance checks. Coop finds a picture on O'Hara's desk of a camp he used to go to, which is the same place that O'Hara's anonymous donor attended. Jackie wants to hire temp nurses because All Saints is understaffed, but Cruz does not allow it. O'Hara vents to Jackie and has a breakdown over Coop and her pregnancy. Coop decides he wants to throw O'Hara a baby shower to cheer her up. Cruz misses his Quantum Bay meeting and confronts Zoey about picking up a patient from another hospital. Cruz has a panic attack while yelling at Jackie. Patients start complaining to Cruz about the long wait and Cruz is taken to the Pulmonary Area to rest. Jackie takes control over the hospital while Cruz is gone and authorizes Zoey to call a temp agency for more nurses.


Episode 410 - "Handle Your Scandal"
Written By: Liz Brixius

Directed By: Randall Einhorn
Cruz wakes up from the hospital bed furious. Sam tells Jackie that the patients’ gurneys are half way down because of the added help. Cruz is upset when he finds out Jackie called in nurse temps

without his permission. Cruz takes away Jackie's badge and fires her. Nurses applaud Jackie for standing up to Cruz. Coop learns who O'Hara's donor is, but keeps it a secret. O'Hara tells Jackie



to contact her union rep and lawyer. O'Hara starts having contractions. Jackie is escorted out of All Saints by security. Jackie decides to pull Grace out of private school and finally meets with the public school principle to have Grace enrolled. Jackie goes out to a bar with Eddie and Akalitus. Coop calls Jackie to pick up a bag of O'Hara's clothes because she is going into labor. Cruz is upset that Jackie came back to All Saints and tells her to leave right after the baby is born. Coop helps deliver the baby and Jackie makes it just in time.


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