Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leticia Jackson PA

Organization Nurse Practitioner · NPI 1548672322

Leticia Jackson PA is a Nurse Practitioner in Miami, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12973 SW 112th St Ste 144
Miami, FL 33186-4768
Phone: (786) 624-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP3326732 (FL)

Record details

NPI number1548672322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Jackson — President · (786) 624-9333
NPI enumeratedMay 28, 2014
Last updated in NPPESMay 28, 2014
Mailing address12973 Sw 112th St, Suite 144, Miami, FL 33186-4768

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