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Individual

JESSICA LA SHAUN JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2801 NE 213TH ST STE 1215, AVENTURA, FL 33180-1267
(954) 489-8815
Mailing address
2801 NE 213TH ST STE 1215, AVENTURA, FL 33180-1267
(833) 769-3524
(786) 288-0384

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11034950
FL

Other

Enumeration date
08/26/2024
Last updated
01/05/2026
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