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

Kory Jackson, NP

Individual provider Gerontology Nurse Practitioner · NPI 1669823068

Kory Jackson, NP is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
11
Licensed in
FL, IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

13685 Doctors Way Ste 170
Fort Myers, FL 33912-4337
Phone: (239) 343-0629
Fax: (239) 343-0625
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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 APRN11024568 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209014384 (IL)

Record details

NPI number1669823068
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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