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

Courtney Carson Jackson

Individual provider Physician Assistant · NPI 1902521354

Courtney Carson Jackson is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1633 Race Track Rd Ste 101
Jacksonville, FL 32259-3237
Phone: (904) 230-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116193 (FL)

Record details

NPI number1902521354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address2529 Cedar Trace Dr E, Jacksonville, FL 32246-9351

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

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