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

Jacqueline Marie Jackson

Individual provider General Practice Registered Nurse · NPI 1972277317

Jacqueline Marie Jackson is a General Practice Registered Nurse in Homestead, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
Specialties on file
5

Practice location Address checks out

24267 SW 117th Ave
Homestead, FL 33032-4404
Phone: (305) 951-8358
Show map & directions

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

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 9303641 (FL)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 9300641 (FL)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 9303641 (FL)
Infection Control Registered Nurse Taxonomy 163WI0600X · Licence 9303641 (FL)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 9303641 (FL)

Record details

NPI number1972277317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2021
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021
Mailing address24267 Sw 117th Ave, Homestead, FL 33032-4404

Other providers in Homestead