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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY LEE FARSON JACKSON, APRN

Active Sole Proprietor

AUDREY LEE FARSON JACKSON, APRN is a Primary Care Nurse Practitioner healthcare provider located in MELBOURNE, Florida. NPI 1114507332 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · MELBOURNE, FL

Registration Details

NPI Number
1114507332
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2021 (5.2964073619176 yrs)
Last Updated
Feb 9, 2024
Licenses
APRN11026952 (FL)
APRN11026952 (FL)
Sole Proprietor
Yes

Practice Information

Address
1223 GATEWAY DR STE 1D
MELBOURNE, FL, 329012607
Browse FL providers · Browse ZIP 32901
Phone
3217296166
Fax
3217221237
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in MELBOURNE, FL

Name Credential NPI
MRS. DAWN P HAMEL ARNP-C 1003149204
CYNTHIA HEYNE ARNP 1831588185
STACIE LEE HAMMOUD APRN 1194252601
STACYANN STEPHENS 1013786581
GAIL LYNETTE ADKINS DNP APRN FNP-C 1922869098
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.