Individual
SAMIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14444 BEACH BLVD STE 28, JACKSONVILLE, FL 32250-2080
(904) 367-2277
(904) 421-3788
Mailing address
1633 RACE TRACK RD STE 101, ST JOHNS, FL 32259-3237
(904) 230-6988
(904) 342-4028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11002840
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11002840
FL
Other
Enumeration date
08/27/2019
Last updated
02/13/2026
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