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Organization
JDPREMIUM HEALTHCARE, LLC
Active
Organization
JDPREMIUM HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADAYSHA L JACKSON APRN (CEO)
(850) 455-1252
Entity
Organization
Contact information
Practice address
14 W JORDAN ST STE 150, PENSACOLA, FL 32501-1740
(850) 455-1252
(844) 683-8754
Mailing address
14 W JORDAN ST STE 150, PENSACOLA, FL 32501-1740
(850) 455-1252
(844) 683-8754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
ME57721
FL
363LF0000X
Family Nurse Practitioner
ARNP9361683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015085700
—
FL
Enumeration date
12/24/2014
Last updated
06/05/2026
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