JACQUELINE MARIE JACKSON NPI 1972277317

NPI Information

NPI: 1972277317
Provider Name: JACQUELINE MARIE JACKSON
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
24267 SW 117TH AVE
HOMESTEAD, FL
ZIP 33032
Phone: (305) 951-8358
Get Directions

Jacqueline Marie Jackson is an administrator registered nurse in Homestead, FL. Jacqueline Marie Jackson NPI is 1972277317. 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:

24267 SW 117TH AVE
HOMESTEAD, FL
ZIP 33032-404
Phone: (305) 951-8358

The enumeration date for this NPI number is 8/8/2021 and was last updated on 8/8/2021.

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	163WA2000X	Registered Nurse	Administrator	9303641	FLORIDA	Yes
2	163WG0000X	Registered Nurse	General Practice	9300641	FLORIDA	No
3	163WG0600X	Registered Nurse	Gerontology	9303641	FLORIDA	No
4	163WI0600X	Registered Nurse	Infection Control	9303641	FLORIDA	No
5	163WW0000X	Registered Nurse	Wound Care	9303641	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: 5/5/2024

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 »