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Lee Douglas Jackson, NP-C
Family Nurse Practitioner in Fort Myers, Florida
NPI 1053602102

Lee Douglas Jackson is a Family Nurse Practitioner based in Fort Myers, FL and is specialized in Family. Lee Douglas Jackson practices in Fort Myers, FL and has the professional credentials of NP-C. The NPI Number for Lee Douglas Jackson is 1053602102 and holds a License No. AP60602473 (Florida).

The current practice location address for Lee Douglas Jackson is 9131 College Pointe Ct, Fort Myers, FL and can be reached out via phone at 239-343-9100 and via fax at 239-343-9108.

Location: 9131 College Pointe Ct, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053602102
Provider Name
Lee Douglas Jackson
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
9131 College Pointe Ct, Fort Myers, FL, 33902-2147
Phone Number
239-343-9100
Fax Number
239-343-9108
Provider Enumeration Date
04/25/2011
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121013000 05 FL
institution
Provider Business Practice Location Address Details
Address
9131 College Pointe Ct
City
Fort Myers
State
Florida
Zip
33919-3245
Phone Number
239-343-9100
Fax Number
239-343-9108
person
Provider Business Mailing Address Details
Address
9131 College Pointe Ct
City
Fort Myers
State
Florida
Zip
33919-3245
Phone Number
239-343-9100
Fax Number
239-343-9108
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2011003377 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60602473 (Washington)
Definition
Definition to come...
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