MARY HALBERT JACKSON AGPCNP
NPI 1679283444
Nurse Practitioner - Adult Health in Jacksonville, FL

Active since December 01, 2022
6300 BEACH BLVD, JACKSONVILLE, FL 32216(904) 724-9202 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Halbert Jackson Agpcnp NPPES

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

MARY HALBERT JACKSON AGPCNP (NPI 1679283444) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (11021289) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1679283444
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY HALBERT JACKSONCredential: AGPCNP
Location Address6300 BEACH BLVDJacksonville, FL 32216-2708
Mailing Address11732 Habroso LnJacksonville, FL 32258-2104 · (904) 314-1992
Sole ProprietorNo
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1679283444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · 11021289
6300 BEACH BLVD, Jacksonville, FL 32216

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Social Worker (Clinical)
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Psychiatric Hospital
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Psychiatric Hospital
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6300 BEACH BLVD
JACKSONVILLE, FL 32216
Pharmacist
6300 BEACH BLVD
JACKSONVILLE, FL 32216

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1679283444. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Mary Jackson located?

Mary Jackson practices at 6300 Beach Blvd, Jacksonville, FL 32216. The listed phone number is (904) 724-9202.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on December 1, 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.