SAMIA JACKSON APRN NPI 1013565811

NPI Information

NPI: 1013565811
Provider Name: SAMIA JACKSON, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC

PECOS Registration: Yes

Address:
14444 BEACH BLVD STE 28
JACKSONVILLE, FL
ZIP 32250
Phone: (904) 367-2277
Get Directions

Samia Jackson, APRN is a primary care nurse practitioner in Jacksonville, FL with 5 years of experience. Samia Jackson, APRN NPI is 1013565811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14444 BEACH BLVD STE 28
JACKSONVILLE, FL
ZIP 32250-080
Phone: (904) 367-2277
Fax: (904) 421-3788

The NPI 1013565811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 9/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	APRN11002840	FLORIDA	Yes
2	363LF0000X	Nurse Practitioner	Family	APRN11002840	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »