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

Kandace Jackson, APRN

Individual provider Family Nurse Practitioner · NPI 1912889205

Kandace Jackson, APRN is a Nurse Practitioner in Davie, Florida. Qualified in 2023, 3 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 468-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4830 Grapevine Way
Davie, FL 33331-3357
Phone: (305) 733-9573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11039117 (FL)

Record details

NPI number1912889205
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address4830 Grapevine Way, Davie, FL 33331-3357

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 468 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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