IndividualActive
Alexis Jackson
NPI 1124855754 · Physical Medicine & Rehabilitation Physician · Jacksonville, FL
Provider details
- NPI number
- 1124855754
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- PTA29421 (FL)
Practice location
11391 Square St Unit 2312
Jacksonville, FL 32256-4099
Phone: (404) 558-7348
Mailing address
11391 Square St Unit 6114
Jacksonville, FL 32256-4123
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.