Individual provider · Type 1 NPI
Renuka Jackson
Nurse Practitioner · Fort Myers, FL
Practice location
6150 Diamond Centre Ct Unit 100
Fort Myers, FL 33912-4367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11007300 (FL) |
Nurse Practitioner: (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 wit…
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About NPI 1093330714
Renuka Jackson's National Provider Identifier is 1093330714, issued on Jun 9, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 9, 2020.