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

Stefanie M Jackson, ARNP

Individual provider Nurse Practitioner · NPI 1346204427

Stefanie M Jackson, ARNP is a Nurse Practitioner in Lake City, Florida. Qualified in 1995, 31 years ago. Practices with Southern Internal Medicine PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2006
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1289 SW State Road 47
Lake City, FL 32025-0484
Phone: (386) 755-0421
Fax: (386) 487-1234
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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 ARNP 2620432 (FL)

Record details

NPI number1346204427
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESJune 25, 2010
Mailing address1289 Sw State Road 47, Lake City, FL 32025-0484

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Southern Internal Medicine Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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