Angela Jackson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9316685 Issued in FL

Practice address

2606 Centennial PL
Tallahassee, FL 32308-0572

Phone

(850) 205-0189

Fax

(850) 329-2903

NPI assigned

Oct 14, 2014

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

Enrolled in FL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Ferraro, LLCGroup PAC ID 6608097308, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jeffrey Ferraro, LLC

  • Psychiatry Physician
  • Tallahassee, FL
  • NPI 1841694957
  Medicare reassignment Care Compare group NPD
• Florida First Psychiatry Specialist LLC

  • Geriatric Psychiatry Physician
  • Tallahassee, FL
  • NPI 1841754959
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1821492265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CENTENNIAL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080572",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CENTENNIAL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080572",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9316685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J H Harvey Co LLC
• J Lucas Koberda, MD, PHD, Neurology, LLC
• J R F Chiropractic
• Raechel Lowe Jaap, LE, CME
• Safayeth Jabeen Isma
• Anita Johnson Jackson
• Anthony Jackson
• Benneishia Jackson
• Camela Hale Jackson, LCSW
• Carla Wood Jackson, PH.D, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.