Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENUKA JACKSON
ActiveRENUKA JACKSON is a Nurse Practitioner healthcare provider located in FORT MYERS, Florida. NPI 1093330714 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FORT MYERS, FL
Registration Details
- NPI Number
- 1093330714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2020 (6.1852589734226 yrs)
- Last Updated
- Jun 9, 2020
- License
-
11007300 (FL)
Practice Information
- Address
-
6150 DIAMOND CENTRE CT UNIT 100FORT MYERS, FL, 339124367Browse FL providers · Browse ZIP 33912
- Phone
- 2395619191
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| SHANNAN VERA DAVIS | A.P.R.N. | 1265430664 |
| MS. KATHLEEN ELLEN MAHAN | ARNP | 1669474532 |
| ERICKA BLAUFUSS NELSON | ARNP | 1528054707 |
| TAMMARA BEZANSON | APRN | 1598752586 |
| EDNA DOMINO | APRN | 1225026941 |
| DEBORAH MAICHLE | ARNP | 1356339725 |
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.