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MS. JACKIE JESSURUN LPN
NPI 1427237973
Licensed Practical Nurse in Miami Gardens, FL

Active since November 01, 2007
111 NW 183RD ST, SUITE 500, MIAMI GARDENS, FL 33169(305) 892-4753(305) 493-0814 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jackie Jessurun Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACKIE JESSURUN LPN (NPI 1427237973) is an individual licensed practical nurse in Miami Gardens, Florida, licensed in Florida (PN5155284) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1427237973
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. JACKIE JESSURUNCredential: LPN
Location Address111 NW 183RD ST, SUITE 500Miami Gardens, FL 33169-4537
Mailing Address111 Nw 183rd St, Suite 500Miami Gardens, FL 33169-4537 · (305) 892-4753 · Fax (305) 493-0814
Phone(305) 892-4753
Fax(305) 493-0814
Sole ProprietorYes
Enumeration DateNovember 1, 2007
✔ NPI 1427237973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5155284
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
111 NW 183RD ST, Miami Gardens, FL 33169
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MANOJKUMAR JAYANTILAL NATHOO RPH
Pharmacist
111 NW 183RD ST, SUITE 509
MIAMI, FL 33169
Miami-Dade County (305) 892-4644
BRITTNEY NORELL WALKER
Counselor (Mental Health)
111 NW 183RD ST
MIAMI, FL 33169
Miami-Dade County (786) 524-4001
KELYS LEONOR CABALLERO OSORIO MD
General Practice
111 NW 183RD ST
MIAMI, FL 33169
Miami-Dade County (305) 655-0702
AURORA HEALTHCARE
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
111 NW 183RD ST
MIAMI GARDENS, FL 33169
Miami-Dade County (305) 654-9949
VIVINA ELGUETA LMHC
Counselor (Mental Health)
111 NW 183RD ST, SUITE 500
MIAMI GARDENS, FL 33169
Miami-Dade County (305) 892-4600
MS. FACHIDA COREUS RN
Registered Nurse
111 NW 183RD ST, SUITE 400
MIAMI GARDENS, FL 33169
Miami-Dade County (305) 892-4753
MR. PAUL F JAQUITH LCSW
Social Worker (Clinical)
111 NW 183RD ST
MIAMI GARDENS, FL 33169
Miami-Dade County (954) 414-8723
MS. JEANETTE CUSHION LPN
Licensed Practical Nurse
111 NW 183RD ST, SUITE 400
MIAMI GARDENS, FL 33169
Miami-Dade County (305) 892-4753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Jessurun's NPI number?

The NPI number for Jackie Jessurun is 1427237973. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Jackie Jessurun located?

Jackie Jessurun practices at 111 NW 183rd St Suite 500, Miami Gardens, FL 33169. The listed phone number is (305) 892-4753.

What is Jackie Jessurun's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jackie Jessurun was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.