Nyota Roshanda Jackman
Nyota Roshanda Jackman is a Nurse Practitioner in North Miami, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida.
- Years since qualifying
- 4
- Licensed in
- FL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
14795 NE 18th Ave Apt 205North Miami, FL 33181-1126
Phone: (786) 355-8945
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 11025583 (FL) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 9455228 (FL) |
Record details
| NPI number | 1083499867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 14795 Ne 18th Ave Apt 205, North Miami, FL 33181-1126 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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