Crystal Louise Jackson, MSN, APRN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN11037866 Issued in FL

Practice address

2700 Pga Blvd Ste 103
Palm Beach Gardens, FL 33410-2958

Phone

(561) 630-8001

NPI assigned

May 19, 2017

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1225565310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 SAINT LUCIE BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349466722",
            "telephone_number": "772-240-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PGA BLVD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102958",
            "telephone_number": "561-630-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 Saint Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349466722",
            "country_code": "US",
            "telephone_number": "772-240-3159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CRYSTAL",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9437936",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11037866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APRN11037866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN9437936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Waterman & Associates, LLC
• Ibrahim Ihsan Jabbour, MD, MPH
• Rayann Jaber, DNP, APRN, FNP-C
• Sheika A Jacinthe, APRN
• Amanda Meister Jackson, PHARMD
• Natasha Monique Jackson, DPT
• Michael A Jacobs, MD PA
• Tara Jacobs, NP-C
• Evan L Jacobson, M.D.
• Michelle C Jacobson, LCSW

• Women's Health Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.