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

Emily Jackson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1881552628

Emily Jackson is a Nurse Practitioner in Gulf Breeze, Florida. Qualified in 2025, 1 year ago. Practices with Balanced Wellbeing LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026

Practice location Address checks out

3146 Cornell Dr
Gulf Breeze, FL 32563-2794
Phone: (850) 543-8865
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11044846 (FL)

Record details

NPI number1881552628
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address3146 Cornell Dr, Gulf Breeze, FL 32563-2794

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gulf Breeze