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LETICIA JACKSON PA NPI 1548672322


NPI Information

NPI: 1548672322
Provider Name: LETICIA JACKSON PA
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
12973 SW 112TH ST
SUITE 144
MIAMI, FL
ZIP 33186
Phone: (786) 624-9333
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LETICIA JACKSON PA is a nurse practitioner in Miami, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. LETICIA JACKSON PA NPI is 1548672322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12973 SW 112TH ST
SUITE 144
MIAMI, FL
ZIP 33186-768
Phone: (786) 624-9333

The provider's authorized official is Leticia Jackson .
The authorized official title is President and has the following contact phone number (786) 624-9333.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 5/28/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerARNP3326732FLORIDAYes

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

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