Individual provider · Type 1 NPI
Kory Jackson, NP
Gerontology Nurse Practitioner · Fort Myers, FL
NPI number
1669823068
Active
Practice location
13685 Doctors Way Ste 170
Fort Myers, FL 33912-4337
Fax (239) 343-0625
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209014384 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11024568 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669823068
Kory Jackson, NP's National Provider Identifier is 1669823068, issued on Jun 27, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 14, 2023.