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Individual
JENNIFER MELISSA JACKSON
Active
Individual
JENNIFER MELISSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95038498
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN11028311
FL
Other
Enumeration date
09/12/2023
Last updated
02/16/2026
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