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MRS. JOHNNA L JACKSON ARNP
NPI 1639179435
Nurse Practitioner in Lake City, FL

Active since July 22, 2005
1847 SW BARNETT WAY, LAKE CITY, FL 32025(386) 755-2240(386) 755-6598 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Johnna L Jackson Arnp NPPES

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

MRS. JOHNNA L JACKSON ARNP (NPI 1639179435) is an individual nurse practitioner in Lake City, Florida, licensed in Florida (ARNP2552432) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1639179435
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JOHNNA L JACKSONCredential: ARNP
Location Address1847 SW BARNETT WAYLake City, FL 32025
Mailing Address1847 Sw Barnett WayLake City, FL 32025 · (386) 755-2240 · Fax (386) 755-6598
Phone(386) 755-2240
Fax(386) 755-6598
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateMay 15, 2009
✔ NPI 1639179435 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 · ARNP2552432
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.
1847 SW BARNETT WAY, Lake City, FL 32025
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Other Identifiers 1

Medicaid301881400FL

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.

RANDOLPH MEDICAL PRACTICES PA
Family Medicine
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Columbia County (386) 755-1440
MR. MATTHEW NEIL MELVIN ARNP
Nurse Practitioner
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Columbia County (386) 755-2240
MILLA PEDIATRICS AND ASSOCIATES, INC
Pediatrics (Adolescent Medicine)
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Columbia County (386) 755-2240
MILLA PEDIATRICS & ASSOCIATES, INC.
Pediatrics
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Columbia County (386) 755-2240
DR. TOMMY LAVAUGHN RANDOLPH M.D.
Family Medicine
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Columbia County (386) 755-1440

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 Johnna Jackson's NPI number?

The NPI number for Johnna Jackson is 1639179435. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Johnna Jackson located?

Johnna Jackson practices at 1847 SW Barnett Way, Lake City, FL 32025. The listed phone number is (386) 755-2240.

What is Johnna Jackson'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 Johnna Jackson was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.