Caitlin Jackson, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11050500 Issued in FL

Practice address

734 Lynndale St N
St Petersburg, FL 33703-1241

Phone

(978) 590-0012

NPI assigned

Oct 26, 2023

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1245002823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LYNNDALE ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031241",
            "telephone_number": "978-590-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 LYNNDALE ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031241",
            "telephone_number": "978-590-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAITLIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2344994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050500",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9694929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Jackson-Mitchell
• Kashika Kenwella Jackson-Pride, DOULA
• Aemelia L Jackson
• Amanda Faith Jackson, OTR/L
• Brianna L Jackson, OT
• Christopher Jackson Jr.
• Christopher L Jackson, PHD, DOM, AP
• Debra E Jackson, ARNP
• Deja Jackson
• Ebony Denashia Jackson, REGISTERED NURSE

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, 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 Sep 1, 2026; 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.