Individual provider · Type 1 NPI

Samantha Jackson

Nurse Practitioner · Belleview, FL

NPI number 1922855295 Active

Practice location

5051 SE 110th St
Belleview, FL 34420-3115

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11032487 (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 1922855295

Samantha Jackson's National Provider Identifier is 1922855295, issued on May 3, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleview, FL. The record was last updated on Aug 20, 2025.