IndividualActive
Alexandra Jackson
NPI 1770218513 · Pediatric Clinical Nurse Specialist · St Johns, FL
Provider details
- NPI number
- 1770218513
- Entity type
- Individual
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN11027845 (FL)
Practice location
4125 Race Track Rd Unit 104
St Johns, FL 32259-2389
Phone: (904) 222-6364
Mailing address
4125 Race Track Rd Unit 104
St Johns, FL 32259-2389
Registry dates
- Enumerated
- 2022-07-17
- Last updated
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.