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

Miss. Stephanie Kay Jackson

Individual provider Registered Nurse · NPI 1164019774

Miss. Stephanie Kay Jackson is a Registered Nurse in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
3

Practice location Address checks out

199 Avenue B NW
Winter Haven, FL 33881-4546
Phone: (863) 293-1191
Fax: (863) 401-8058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11011834 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9260330 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN11011834 (FL)

Record details

NPI number1164019774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2020
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

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