Individual
ARIN JACKSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1941 WALDEMERE ST FL 4, SARASOTA, FL 34239-2922
(941) 957-1000
(941) 951-2117
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9198408
FL
363LF0000X
Family Nurse Practitioner
Primary
9198408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015015200
—
FL
Enumeration date
06/01/2015
Last updated
06/01/2026
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