Peggy Jackson, ARNP-BC, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9212215 Issued in FL

Practice address

871 Venetia Bay Blvd
Venice, FL 34285-8047

Phone

(727) 504-0332

Fax

(855) 312-3643

NPI assigned

Jan 10, 2007

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Americans Internists PA

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1730375239
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1245389063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 24TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086430",
            "telephone_number": "727-504-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 US Highway 431 Ste 34",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359502083",
            "country_code": "US",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Riveredge Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284663",
            "country_code": "US",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-8643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S Pear Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391574807",
            "country_code": "US",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Millstone Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788776",
            "country_code": "US",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2106 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076944",
            "country_code": "US",
            "telephone_number": "727-504-0332",
            "fax_number": "855-312-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PEGGY",
        "name_prefix": "Ms.",
        "credential": "ARNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9212215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245389063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Issa Rehab Services Corporation
• J & J Will-Care, Inc.
• Jacaranda Family Medicine P a
• Jacaranda Pointe Anesthesia PL
• Mark A Jackson, LCSW
• Ellen Marie Jacob, LCSW, CDP
• Tara Elizabeth Jacobson, BS
• Jacqueline Z Fay OD PA
• Barbara B. Jaehne, AU.D.
• James D Shortt MD PA

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, 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 Mar 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.