Nakitia Letrecia Jackson, RN, ARNP, AANP, ANCC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 9182178 Issued in FL

Practice address

6350 SW 10TH CT
North Lauderdale, FL 33068-2721

Phone

(954) 464-5784

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nakitia Letrecia Jackson Professional name

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1811320674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 SW 10TH CT",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 SW 10TH CT",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682721",
            "telephone_number": "954-464-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NAKITIA",
        "middle_name": "LETRECIA",
        "credential": "RN, ARNP, AANP, ANCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9182178",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9182178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAKITIA",
            "last_name": "JACKSON",
            "middle_name": "LETRECIA",
            "credential": "RN, ARNP, AANP, ANCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Sherika Isaac, NRCPT, CMA, CNA
• Talia Nichole Jackson
• Suze J Jeoboam
• Arnelle Johnson
• Carl A Johnson Jr.
• Toni Ariana Johnson, DPT

• Registered Nurse in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.