Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Pavlovna Jackson, PNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1801439542

Anna Pavlovna Jackson, PNP-PC is a Nurse Practitioner in Loxahatchee, Florida. Graduated from Florida International Univ, College of Medicine in 2019, 7 years ago. Practices with Providers Health Alliance, LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Florida International Univ, College of Medicine
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

11327 Okeechobee Blvd Ste 2 & 3 Medical Mall 2 Ste 224
Loxahatchee, FL 33470
Phone: (561) 340-1615
Fax: (561) 340-4026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence APRB11004601 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 11004601 (FL)

Record details

NPI number1801439542
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-PC
Sole proprietorNo
NPI enumeratedOctober 25, 2019
Last updated in NPPESNovember 6, 2023
Certification dateNovember 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Providers Health Alliance, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Loxahatchee