JACKSON ETIENNE
NPI 1447976071
Nurse Practitioner - Family in Miami, FL

Q: What is Jackson Etienne's NPI number?

The NPI number for Jackson Etienne is 1447976071. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Q: What is Jackson Etienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Etienne was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 14, 2022

5932 NE 2ND AVE, MIAMI, FL 33137(954) 598-2364 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackson Etienne NPPES

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

JACKSON ETIENNE (NPI 1447976071) is an individual family provider in Miami, Florida, licensed in Florida (F09220203) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1447976071

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACKSON ETIENNE

Location Address5932 NE 2ND AVEMiami, FL 33137-2010

Mailing Address2881 Nw 68th LnMargate, FL 33063-2041 · (305) 834-6850

Phone(954) 598-2364

Sole ProprietorNo

Enumeration DateOctober 14, 2022

NPPES CertifiedOctober 14, 2022

✔ NPI 1447976071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · F09220203

5932 NE 2ND AVE, Miami, FL 33137

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Other Providers at the Same Location NPPES

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

PROVIDENCE COMMUNITY CENTER LLC

Nurse Practitioner (Family)

5932 NE 2ND AVE
MIAMI, FL 33137

Miami-Dade County (786) 546-5129

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 Jackson Etienne's NPI number?

The NPI number for Jackson Etienne is 1447976071. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Jackson Etienne located?

Jackson Etienne practices at 5932 NE 2nd Ave, Miami, FL 33137. The listed phone number is (954) 598-2364.

What is Jackson Etienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jackson Etienne was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.