Alexandra Jabornik Jackson

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

APRN11027845 Issued in FL

Practice address

4125 Race Track Rd Unit 104
St Johns, FL 32259-2389

Phone

(904) 222-6364

NPI assigned

Jul 17, 2022

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alexandra.jackson.1@1743.direct.athenahealth.com

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.

• Pediatrica Health of Florida, LLC

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1316385164
  NPD (past)

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1770218513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 RACE TRACK RD UNIT 104",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592389",
            "telephone_number": "904-222-6364",
            "fax_number": "904-342-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 RACE TRACK RD UNIT 104",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592389",
            "telephone_number": "904-222-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALEXANDRA",
        "middle_name": "JABORNIK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "FL",
            "license": "APRN11027845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajackson@pediatrica.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4125 Race Track Rd Unit 104",
            "city": "St Johns",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322592389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajac219@regiscollege.edu",
            "affiliation": "N",
            "address_1": "12311 Waterfall Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322256801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajac219@regiscollege.edu",
            "affiliation": "N",
            "address_1": "12311 Waterfall Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322256801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajac219@regiscollege.edu",
            "affiliation": "N",
            "address_1": "12311 Waterfall Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322256801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marika Lauren Collymore Jackson, DPM
• Jacksonville Ambulatory Surgery Center, LLC
• Jacksonville Center for Sexual Health, LLC
• Jacksonville Dental and Medical Temp Agency (jax dental and medical)
• Jacksonville Tongue Tie LLC

• Pediatric Clinical Nurse Specialist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Pediatric Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.