Individual provider · Type 1 NPI

Johnna L. Jackson, ARNP

Nurse Practitioner · Lake City, FL

NPI number 1639179435 Active

Practice location

1847 SW Barnett Way
Lake City, FL 32025

Fax (386) 755-6598

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP2552432 (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 1639179435

Johnna L. Jackson, ARNP's National Provider Identifier is 1639179435, issued on Jul 22, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake City, FL. The record was last updated on May 15, 2009.