LETICIA JACKSON PA
NPI 1548672322
Nurse Practitioner in Miami, FL

Q: What is Leticia Jackson PA's NPI number?

The NPI number for Leticia Jackson PA is 1548672322. It was assigned to this organization in the NPPES registry on May 28, 2014.

Q: What is Leticia Jackson PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 28, 2014

12973 SW 112TH ST, SUITE 144, MIAMI, FL 33186(786) 624-9333 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leticia Jackson Pa NPPES

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

LETICIA JACKSON PA (NPI 1548672322) is a healthcare organization registered as a nurse practitioner in Miami, Florida and active in the NPI registry since May 2014. The organization lists Leticia Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1548672322

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLETICIA JACKSON PA

Location Address12973 SW 112TH ST, SUITE 144Miami, FL 33186-4768

Mailing Address12973 Sw 112th St, Suite 144Miami, FL 33186-4768 · (786) 624-9333

Phone(786) 624-9333

Organization SubpartNo

Authorized OfficialLeticia JacksonPresident · (786) 624-9333

Enumeration DateMay 28, 2014

✔ NPI 1548672322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP3326732

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12973 SW 112TH ST, Miami, FL 33186

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

H & P ELECTO INC.

Clinic/Center

12973 SW 112TH ST, 375
MIAMI, FL 33186

Miami-Dade County (305) 427-8867

ANDREA VIRGINIA BARONE

Behavior Analyst

12973 SW 112TH ST
MIAMI, FL 33186

Miami-Dade County (305) 204-7037

NICOLE HANNA

Occupational Therapist

12973 SW 112TH ST, SUITE 337
MIAMI, FL 33186

Miami-Dade County (305) 984-7043

HELPING HANDS FOR KIDS, LLC

Occupational Therapist

12973 SW 112TH ST, 337
MIAMI, FL 33186

Miami-Dade County (305) 984-7043

AMANDA ROSE LEON OTR/L

Occupational Therapist

12973 SW 112TH ST, 337
MIAMI, FL 33186

Miami-Dade County (305) 984-7043

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 Leticia Jackson PA's NPI number?

The NPI number for Leticia Jackson PA is 1548672322. It was assigned to this organization in the NPPES registry on May 28, 2014.

Where is Leticia Jackson PA located?

Leticia Jackson PA is located at 12973 SW 112th St Suite 144, Miami, FL 33186. The listed phone number is (786) 624-9333.

What is Leticia Jackson PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Leticia Jackson PA was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.