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

Jason Robert Jacobson, APRN

Individual provider Nurse Practitioner · NPI 1104456565

Jason Robert Jacobson, APRN is a Nurse Practitioner in Jacksonville, Florida. Licensed in Arizona, California, Florida and Maryland and 8 more. Registered with an NPI since 2020.

Licensed in
AZ, CA, FL, MD, MN, NV
In the registry since
2020
Specialties on file
13
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

12428 San Jose Blvd Ste 4
Jacksonville, FL 32223-8617
Phone: (602) 403-9466
Fax: (602) 708-5615
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11003000 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 13915782-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 870426 (NV)
Nurse Practitioner Taxonomy 363L00000X · Licence AC003602 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence 294465 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024193643 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61509339 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11003000 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 95032140 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 1170150 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 10020817 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 8155 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence F352405-01 (NY)

Record details

NPI number1104456565
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address1119 Natures Hammock Rd N, St Johns, FL 32259-2891

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