Leticia Jackson PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3326732 Issued in FL

Legal business name

LETICIA JACKSON PA

Practice address

12973 SW 112TH St
Suite 144
Miami, FL 33186-4768

Phone

(786) 624-9333

NPI assigned

May 28, 2014

Last updated

May 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leticia Jackson, ARNP

Title

President

Phone

(786) 624-9333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1548672322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 SW 112TH ST",
            "address_2": "SUITE 144",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864768",
            "telephone_number": "786-624-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12973 SW 112TH ST",
            "address_2": "SUITE 144",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864768",
            "telephone_number": "786-624-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA JACKSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-624-9333",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3326732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Let's Beehave Together, Inc
• Let's Talk Speech Therapy LLC
• Let's Talk Therapy Services Center LLC
• Let's Talk Wellness Network, LLC
• Leticia Diana Integrative Health
• Dalian Stephan Letren, M.D.
• Lets Talk Mental Health Inc
• Michael Letter, PA
• Lety's Community Center Inc
• Melissa Leuchtenmueller, PT, DPT

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.