Individual
DR. LASHENA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP ARNP FNP-BC
Contact information
Practice address
9109 BAYMEADOWS RD STE 3, JACKSONVILLE, FL 32256-1842
(904) 933-8533
(904) 212-4306
Mailing address
3765 VICTORIA LAKES DR E, JACKSONVILLE, FL 32226-5881
(904) 649-3034
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
APRN11005521
FL
320700000X
Physical Disabilities Residential Treatment Facility
—
FL
363L00000X
Nurse Practitioner
APRN11005521
FL
363LC1500X
Community Health Nurse Practitioner
APRN11005521
FL
363LF0000X
Family Nurse Practitioner
APRN11005521
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11005521
FL
Other
Enumeration date
01/17/2020
Last updated
09/26/2023
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