Individual provider · Type 1 NPI

Audrey Lee Farson Jackson, APRN

Primary Care Nurse Practitioner · Melbourne, FL

NPI number 1114507332 Active

Practice location

1223 Gateway Dr Ste 1D
Melbourne, FL 32901-2607

Fax (321) 722-1237

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice locations

  • 3425 Bayside Lakes Blvd SE Ste 110, Palm Bay, FL 32909-6867 · (321) 729-6166

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner 363LX0001XAPRN11026952 (FL)
Primary Care Nurse Practitioner Primary 363LP2300XAPRN11026952 (FL)

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1114507332

Audrey Lee Farson Jackson, APRN's National Provider Identifier is 1114507332, issued on Apr 12, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Melbourne, FL. The record was last updated on Feb 9, 2024.