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

Jackmary Medina

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609710136

Jackmary Medina is a Psychiatric/Mental Health Nurse Practitioner in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

33 W 60th St Fl 6
New York, NY 10023-7905
Phone: (212) 606-2300
Show map & directions

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

Additional practice locations (1)

  • 200 Avenue F Ne, Winter Haven, FL 33881-4131 — (863) 293-1121

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11046398 (FL)

Record details

NPI number1609710136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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