Individual provider · Type 1 NPI

Sandina Samantha Jackson, APRN

Nurse Practitioner · Pembroke Pines, FL

NPI number 1225623408 Active

Practice location

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

1000 36th St
Vero Beach, FL 32960-4862

Other practice locations

  • 1000 36th St, Vero Beach, FL 32960-4862 · (772) 567-4311

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5023920 (NC)
Nurse Practitioner 363L00000XGAA-NP004965 (GA)
Nurse Practitioner 363L00000X31804 (SC)
Nurse Practitioner 363L00000XSP035423 (PA)
Nurse Practitioner Primary 363L00000XAPRN11010356 (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 1225623408

Sandina Samantha Jackson, APRN's National Provider Identifier is 1225623408, issued on Mar 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on May 19, 2026.