Debra E Jackson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1900652 Issued in FL

Practice address

8730 4TH St N
St Petersburg, FL 33702-3106

Phone

(727) 576-4229

Fax

(727) 578-0081

NPI assigned

Mar 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3123/brand/3/csg/41/fhir/r4

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.

• Allergy&Asthma Centre

  • Allergy Physician
  • Saint Petersburg, FL
  • NPI 1164638367
  NPD (past)
• Bayfront Physician Specialty Service

  • Specialist
  • St. Petersburg, FL
  • NPI 1841477890
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376676841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 TERENCE CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591215",
            "telephone_number": "727-726-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023106",
            "telephone_number": "727-576-4229",
            "fax_number": "727-578-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBRA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1900652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Faith Jackson, OTR/L
• Brianna L Jackson, OT
• Caitlin Jackson, RN
• Christopher Jackson Jr.
• Christopher L Jackson, PHD, DOM, AP
• Deja Jackson
• Ebony Denashia Jackson, REGISTERED NURSE
• Edwin Jackson, M.D.
• Janice P Jackson, ARNP
• Jennifer Brockman Jackson, OTR

• 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 Jul 8, 2007; 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.