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

Mandi Jackson, APRN

Individual provider Family Nurse Practitioner · NPI 1780381376

Mandi Jackson, APRN is a Nurse Practitioner in Foley, Alabama. Qualified in 2022, 4 years ago. Practices with ENT Centers of Excellence, a 4-clinician group and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
4
Licensed in
AL, FL
In the registry since
2023
Specialties on file
2
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

1851 N McKenzie St Ste 106
Foley, AL 36535-4704
Phone: (251) 943-1117
Fax: (251) 943-1183
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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 1-136796 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11024768 (FL)

Record details

NPI number1780381376
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address1851 N McKenzie St Ste 106, Foley, AL 36535-4704

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ent Centers Of Excellence — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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