Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE DOUGLAS JACKSON, NP-C
ActiveLEE DOUGLAS JACKSON, NP-C is a Family Nurse Practitioner healthcare provider located in FORT MYERS, Florida. NPI 1053602102 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FORT MYERS, FL
Registration Details
- NPI Number
- 1053602102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2011 (15.2837729398 yrs)
- Last Updated
- Oct 3, 2025
- Licenses
-
APRN11027444 (FL)AP60602473 (WA)2011003377 (MO)AP60602473 (WA)5375350071 (KS)
Practice Information
- Address
-
16271 BASS RDFORT MYERS, FL, 339083616Browse FL providers · Browse ZIP 33908
- Phone
- 2393437100
- Fax
- 2394687924
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. LUCIA MARIE WEST | FNP | 1154315380 |
| MRS. OLANDA MARIE HATHAWAY | APRN | 1962496471 |
| LORIE QUIGLEY | ARNP | 1053308031 |
| NANCY BUTHMAN | ARNP | 1851382725 |
| FRANCES ROBINE | ARNP | 1790776441 |
| HEATHER DIANE PETROVICH | ARNP | 1336121599 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.