Jennifer Melissa Jackson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11028311 Issued in FL

Practice address

1850 SW Fountainview Blvd Ste 105
Port Saint Lucie, FL 34986-4527

Phone

(772) 336-2818

Fax

(772) 336-5313

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Duran Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Star Point Family Health, LLC

  • Family Nurse Practitioner
  • Odessa, FL
  • NPI 1841171105
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1104603364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "772-336-2818",
            "fax_number": "772-336-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW FOUNTAINVIEW BLVD STE 105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864527",
            "telephone_number": "772-336-2818",
            "fax_number": "772-336-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Howe Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254732",
            "country_code": "US",
            "telephone_number": "916-924-9337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24422 Avenida De La Carlota Ste 300",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533628",
            "country_code": "US",
            "telephone_number": "949-599-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNIFER",
        "middle_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95038498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DURAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• It'S Time to Care LLC
• Angelica Italiano, DO
• Lavetta S Ivey
• Jose Antonio Izquierdo Diaz, MD
• Chelsea Jackson, APRN
• Michelle Letticia Jackson, , DOULA
• Susan Jacob
• Brooke Jacobs, MSW
• Chantel Tenesia Jacobs, M.D.
• Paul Edward Jacobs, DPT

• Family Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.