Individual provider · Type 1 NPI

Jennifer Melissa Jackson, APRN

Family Nurse Practitioner · Port St. Lucie, FL

NPI number 1104603364 Active

Practice location

1850 SW Fountainview Blvd Ste 105
Port St. Lucie, FL 34986-4527

Call (772) 336-2818 Map

Fax (772) 336-5313

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923

Other practice locations

  • 650 Howe Ave Ste 100, Sacramento, CA 95825-4732 · (916) 924-9337
  • 24422 Avenida De La Carlota Ste 300, Laguna Hills, CA 92653-3628 · (949) 599-2434

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95038498 (CA)
Family Nurse Practitioner Primary 363LF0000XAPRN11028311 (FL)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1104603364

Jennifer Melissa Jackson, APRN's National Provider Identifier is 1104603364, issued on Sep 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 16, 2026.