Audrey Lee Farson Jackson, APRN
Primary Care Nurse Practitioner · Melbourne, FL
Practice location
1223 Gateway Dr Ste 1dMelbourne, FL 32901-2607
- Phone
- (321) 729-6166
- Fax
- (321) 722-1237
NPI record
- NPI
- 1114507332
- Entity type
- Individual (Type 1)
- Enumeration date
- April 12, 2021
- Last updated
- February 9, 2024
- Certified
- February 9, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X |
APRN11026952 | FL |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X |
APRN11026952 | FL |
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
- Phone
- (321) 729-6166
Other practice locations (1)
- 3425 Bayside Lakes Blvd SE Ste 110, Palm Bay, FL 32909-6867 · (321) 729-6166
About Audrey Jackson
Audrey Lee Farson Jackson, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 1223 Gateway Dr Ste 1d, Melbourne, FL 32901-2607. The NPI number 1114507332 was assigned on April 12, 2021 and the record was last updated on February 9, 2024.
Audrey Jackson lists 2 licenses in the registry: #APRN11026952 (FL) for Primary Care Nurse Practitioner; #APRN11026952 (FL) for Obstetrics & Gynecology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Audrey Lee Farson Jackson, APRN?
The NPI number is 1114507332.
What is the phone number of Audrey Jackson?
The phone number listed for the practice location is (321) 729-6166.
Where is Audrey Jackson located?
1223 Gateway Dr Ste 1d, Melbourne, FL 32901-2607.
What is the taxonomy code for Audrey Jackson?
The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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