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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY KATHERINE JACKSON FNP
NPI 1780664854
Nurse Practitioner - Family in Jacksonville, FL

Active since January 17, 2006
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7516(904) 542-7913 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mary Katherine Jackson Fnp NPPES

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

MS. MARY KATHERINE JACKSON FNP (NPI 1780664854) is an individual family provider in Jacksonville, Florida, licensed in California (420469) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1780664854
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY KATHERINE JACKSONCredential: FNP
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2521 Sunny Creek DrOrange Park, FL 32003-4970 · (904) 542-7516 · Fax (904) 542-7913
Phone(904) 542-7516
Fax(904) 542-7913
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1780664854 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 CA · 420469
2080 CHILD ST, Jacksonville, FL 32214
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Other Providers at the Same Location NPPES 20

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

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 1780664854. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Mary Jackson located?

Mary Jackson practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7516.

What is Mary 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 Mary Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.