ALEXANDRA JABORNIK JACKSON
NPI 1770218513
Clinical Nurse Specialist - Pediatrics in St Johns, FL

Q: What is Alexandra Jackson's NPI number?

The NPI number for Alexandra Jackson is 1770218513. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Q: What is Alexandra Jackson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Jackson was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 July 17, 2022

4125 RACE TRACK RD UNIT 104, ST JOHNS, FL 32259(904) 222-6364 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Aug 22, 2023, Aug 16, 2023 and 1 more (4 updates tracked since 2022).

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About Alexandra Jabornik Jackson NPPES

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

ALEXANDRA JABORNIK JACKSON (NPI 1770218513) is an individual pediatrics provider in St Johns, Florida, licensed in Florida (APRN11027845) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1770218513

Entity TypeIndividualFemale

Primary Taxonomy364SP0200X

Provider Legal NameALEXANDRA JABORNIK JACKSON

Location Address4125 RACE TRACK RD UNIT 104St Johns, FL 32259-2389

Mailing Address4125 Race Track Rd Unit 104St Johns, FL 32259-2389 · (904) 222-6364 · Fax (904) 342-0442

Phone(904) 222-6364

Sole ProprietorNo

Enumeration DateJuly 17, 2022

Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1770218513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0200X

License✔ Licensed in FL · APRN11027845

4125 RACE TRACK RD UNIT 104, St Johns, FL 32259

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. MARISA MICHELLE LAUGHREY MD

Pediatrics

4125 RACE TRACK RD UNIT 104
ST JOHNS, FL 32259

St. Johns County (904) 222-6364

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 Alexandra Jackson's NPI number?

The NPI number for Alexandra Jackson is 1770218513. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Where is Alexandra Jackson located?

Alexandra Jackson practices at 4125 Race Track Rd Unit 104, St Johns, FL 32259. The listed phone number is (904) 222-6364.

What is Alexandra Jackson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

What insurance does Alexandra Jackson accept?

Health plans from UnitedHealthcare list Alexandra Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Jackson was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.