Lee Douglas Jackson is a Fort Myers, Florida based nurse practitioner. Active license number of Lee Douglas Jackson is APRN11027444 for Family in Florida. His current practice location is 9131 College Pointe Ct, Fort Myers. Patients can reach him at 239-343-9100 or can fax him at 239-343-9108. Lee Douglas Jackson is NP-C and his NPI number (Unique professional ID assigned by NPPES) is 1053602102. Lee Douglas Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lee Douglas Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lee Douglas Jackson
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
NP-C
Practice Address:
9131 College Pointe Ct, Fort Myers, Florida, 33919-3245
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053602102
NPI Enumeration Date:
25 Apr, 2011
NPI Last Update On:
27 Mar, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lee Douglas Jackson are as mentioned below.
License Number
Specialization
State
Status
APRN11027444
Family
Florida
Primary
AP60602473
Nurse Practitioner
Washington
Secondary
2011003377
Family
Missouri
Secondary
5375350071
Family
Kansas
Secondary
AP60602473
Family
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lee Douglas Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
121013000
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lee Douglas Jackson Po Box 2147, Fort Myers, Florida
Zip:
33902-2147
Phone Number:
239-343-9100
Fax Number:
239-343-9108
Patients can reach Lee Douglas Jackson at 9131 College Pointe Ct, Fort Myers, Florida or can call to book an appointment on 239-343-9100.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.