Individual
MRS. KAREN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
45 INDUSTRIAL BLVD STE C, PENSACOLA, FL 32503-7668
(850) 290-8410
(866) 574-6391
Mailing address
45 INDUSTRIAL BLVD STE C, PENSACOLA, FL 32503-7668
(850) 290-8410
(866) 574-6391
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-087343
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9287293
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9287293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00720964
RAILROAD MEDICARE
FL
Enumeration date
08/14/2008
Last updated
04/16/2025
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