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

Miranda Loren Jackson, DNP

Individual provider Family Nurse Practitioner · NPI 1104609619

Miranda Loren Jackson, DNP is a Nurse Practitioner in Pensacola, Florida. Qualified in 2023, 3 years ago. Practices with Baptist Medical Group LLC, a 256-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

9400 University Pkwy Ste 210
Pensacola, FL 32514-5485
Phone: (448) 227-4240
Fax: (850) 208-6369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11026888 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11026888 (FL)

Record details

NPI number1104609619
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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 Baptist Medical Group Llc — 256 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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