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

Jacqueline Johnson, AGNP

Individual provider Registered Nurse · NPI 1003359951

Jacqueline Johnson, AGNP is a Nurse Practitioner in Miami, Florida. Qualified in 2019, 7 years ago. Practices with Memorial Hermann Medical Group, a 753-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1501 Biscayne Blvd
Miami, FL 33132-1449
Phone: (887) 787-0032
Fax: (866) 427-3798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP143029 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 81-4360797 (TX)

Record details

NPI number1003359951
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedNovember 27, 2016
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026
Mailing address317 W Rutherford St, Mount Vernon, TX 75457-3253

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorial Hermann Medical Group — 753 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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