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

KANDACE JACKSON, APRN

Active

KANDACE JACKSON, APRN is a Family Nurse Practitioner healthcare provider located in DAVIE, Florida. NPI 1912889205 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · DAVIE, FL

Registration Details

NPI Number
1912889205
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2025 (1.0323613341608 yrs)
Last Updated
Jul 25, 2025
License
APRN11039117 (FL)

Practice Information

Address
4830 GRAPEVINE WAY
DAVIE, FL, 333313357
Browse FL providers · Browse ZIP 33331
Phone
3057339573
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in DAVIE, FL

Name Credential NPI
MS. MARGARET SYDNEY MACFARLANE ARNP 1164491098
MRS. MICHELLE V MASSIAH ARNP 1376777888
JULIE MARY MATHEW 1790080406
MRS. HEIDI ANN PANTOJA NP-C 1639461254
PHYLLIS A. WAGNER ARNP 1609157569
THOMAS JOSEPH LEWIS OSDER ARNP 1700120698
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.