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

JACQUELINE MARIE JACKSON

Active Sole Proprietor

JACQUELINE MARIE JACKSON is a Advance Practice Midwife healthcare provider located in HOMESTEAD, Florida. NPI 1972277317 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · HOMESTEAD, FL

Registration Details

NPI Number
1972277317
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2021 (4.8285376513616 yrs)
Last Updated
Aug 8, 2021
Licenses
9300641 (FL)
9303641 (FL)
9303641 (FL)
9303641 (FL)
9303641 (FL)
Sole Proprietor
Yes

Practice Information

Address
24267 SW 117TH AVE
HOMESTEAD, FL, 330324404
Browse FL providers · Browse ZIP 33032
Phone
3059518358
Primary Specialty
Advance Practice Midwife
163WA2000X
Additional Specialty
Gerontological Nurse
Additional Specialty
Infection Control Nurse
Additional Specialty
Wound Care Nurse
Additional Specialty
Advance Practice Midwife
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.