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

Alexis R Jackson

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1124855754

Alexis R Jackson is a Physical Medicine & Rehabilitation Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

11391 Square St Unit 2312
Jacksonville, FL 32256-4099
Phone: (404) 558-7348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTA29421 (FL)

Record details

NPI number1124855754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address11391 Square St Unit 6114, Jacksonville, FL 32256-4123

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