Christina Renee Jackson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11041870 Issued in FL

Practice address

7794 Colony Lake Dr
Boynton Beach, FL 33436-1310

Phone

(321) 377-8486

NPI assigned

Aug 24, 2020

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1912519638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7794 COLONY LAKE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361310",
            "telephone_number": "321-377-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 COLONY LAKE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361310",
            "telephone_number": "321-377-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041870",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & J Home Care and Transportation LLC
• J M Provenzano MD PA
• J&T Medicine PLLC
• Shunta Tanesheva Jackson-Smith, APRN
• Anthony Jackson, CAC
• Tracy L Jackson, OT
• Yalonda Nachole Jackson, MSN,ARNP
• Jaclyn Felix Spectrum, Inc.
• Jacob Pistor (Peak Recovery Services, LLC)
• Marty Jacob, MD

• Family Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, 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 Aug 26, 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.