THEONA ALEXEE JACKSON
NPI 1699242446
Nurse Practitioner - Family in Lauderhill, FL

Q: What is Theona Jackson's NPI number?

The NPI number for Theona Jackson is 1699242446. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Q: What is Theona Jackson'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 Theona Jackson was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 30, 2018

7342 NW 48TH ST, LAUDERHILL, FL 33319(954) 471-3500 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2019, Oct 30, 2018 (2 updates tracked since 2018).

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About Theona Alexee Jackson NPPES

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

THEONA ALEXEE JACKSON (NPI 1699242446) is an individual family provider in Lauderhill, Florida, licensed in Florida (APRN9245393) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1699242446

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHEONA ALEXEE JACKSON

Location Address7342 NW 48TH STLauderhill, FL 33319-3401

Mailing Address7342 Nw 48th StLauderhill, FL 33319-3401 · (954) 471-3500

Phone(954) 471-3500

Sole ProprietorNo

Enumeration DateOctober 30, 2018

Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration

✔ NPI 1699242446 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 · APRN9245393

7342 NW 48TH ST, Lauderhill, FL 33319

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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.

PREVENTATIVE HEALTHCARE MANAGEMENT

Family Medicine (Adult Medicine)

7342 NW 48TH ST
LAUDERHILL, FL 33319

Broward County (954) 471-3500

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 Theona Jackson's NPI number?

The NPI number for Theona Jackson is 1699242446. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Theona Jackson located?

Theona Jackson practices at 7342 NW 48th St, Lauderhill, FL 33319. The listed phone number is (954) 471-3500.

What is Theona Jackson'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 Theona Jackson was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.