Individual provider · Type 1 NPI

Melody Felissa Jackson

Pediatric Registered Nurse · Miami, FL

NPI number 1902203557 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Mailing address

21150 NE Miami Ct
Miami Gardens, FL 33179-1033

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X211763 (FL)

Pediatric Registered Nurse: Definition to come...

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About NPI 1902203557

Melody Felissa Jackson's National Provider Identifier is 1902203557, issued on Nov 25, 2014. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Miami, FL. The record was last updated on Nov 25, 2014.