Stefanie M Jackson is a Lake City, Florida based nurse practitioner with 30 years of experience in . She completed her graduation in 1995. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stefanie M Jackson is ARNP 2620432 in Florida. Her current practice location is 1289 Sw State Road 47, Lake City. Patients can reach her at 386-755-0421 or can fax her at 386-487-1234. Stefanie M Jackson is ARNP and her NPI number (Unique professional ID assigned by NPPES) is 1346204427. Stefanie M 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:
Stefanie M 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:
Stefanie M Jackson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
ARNP
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1995
Accepts Medicare Assignment:
Yes
Practice Address:
1289 Sw State Road 47, Lake City, Florida, 32025-0484
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.
PAC ID:
3577567551
Enrollment ID:
I20060906000015
NPI Number:
1346204427
NPI Enumeration Date:
14 Apr, 2006
NPI Last Update On:
25 Jun, 2010
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stefanie M Jackson are as mentioned below.
License Number
Specialization
State
Status
ARNP 2620432
Florida
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100156)
Lake city, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stefanie M Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southern Internal Medicine Pllc (7618052580)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Stefanie M Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ARNP2620432
Other
Florida
MEDICAL LICENSE
275262
Other
Florida
AVMED
363L00000X
Other
Florida
TAXONOMY CODE
DE000Z
Other
Florida
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stefanie M Jackson 1289 Sw State Road 47, Lake City, Florida
Zip:
32025-0484
Phone Number:
386-755-0421
Fax Number:
386-487-1234
Patients can reach Stefanie M Jackson at 1289 Sw State Road 47, Lake City, Florida or can call to book an appointment on 386-755-0421.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.