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

Lee Douglas Jackson, NP-C

Individual provider Family Nurse Practitioner · NPI 1053602102

Lee Douglas Jackson, NP-C is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2010, 16 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Kansas, Missouri and Washington.

Years since qualifying
16
Licensed in
FL, KS, MO, WA
In the registry since
2011
Specialties on file
5
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

16271 Bass Rd
Fort Myers, FL 33908-3616
Phone: (239) 343-7100
Fax: (239) 468-7924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9131 College Pointe Ct, Fort Myers, FL 33919-3245 — (239) 343-9100
  • 214 W 1st St, Cle Elum, WA 98922-1108 — (509) 674-6779

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11027444 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60602473 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60602473 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2011003377 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5375350071 (KS)

Record details

NPI number1053602102
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 25, 2011
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers