KEOSHA JACKSON NPI 1982261467

NPI Information

  • NPI: 1982261467
  • Provider Name: KEOSHA JACKSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1843 SW HENDRY ST
    ARCADIA, FL
    ZIP 34266
  • Phone: (941) 962-2020

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NPI Details

Keosha Jackson is a family nurse practitioner in Arcadia, FL with 8 years of experience. Keosha Jackson NPI is 1982261467. 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:

1843 SW HENDRY ST
ARCADIA, FL
ZIP 34266-999
Phone: (941) 962-2020

The NPI 1982261467 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 5/21/2019 and was last updated on 5/21/2019.

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
1363LF0000XNurse PractitionerFamily11002349FLORIDAYes

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: 11/21/2025

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