Individual provider · Type 1 NPI

Stephanie Kay Jackson

Family Nurse Practitioner · Winter Haven, FL

NPI number 1164019774 Active

Practice location

199 Avenue B NW
Winter Haven, FL 33881-4546

Fax (863) 401-8058

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3094

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9260330 (FL)
Acute Care Nurse Practitioner 363LA2100XAPRN11011834 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11011834 (FL)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1164019774

Stephanie Kay Jackson's National Provider Identifier is 1164019774, issued on Dec 29, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winter Haven, FL. The record was last updated on Aug 5, 2022.