Jessica La Shaun Jackson, PMHNP-BC - Nurse Practitioner in Hollywood, FL

Jessica La Shaun Jackson, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Hollywood, Florida. Jessica La Shaun Jackson is licensed to practice in Florida (license number APRN11034950) and her current practice location is 2525 Embassy Dr Ste 14, Hollywood, Florida. She can be reached at her office (for appointments etc.) via phone at (754) 707-3144.

NPI number for Jessica La Shaun Jackson is 1275367054 and her current mailing address is 2850 Nw 6th Ct, Fort Lauderdale, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275367054.

Contact Information

Jessica La Shaun Jackson, PMHNP-BC
2525 Embassy Dr Ste 14,
Hollywood, FL 33026-4573
(754) 707-3144
Not Available

Map and Direction




Provider's Profile

Full NameJessica La Shaun Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2525 Embassy Dr Ste 14, Hollywood, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275367054
  • Provider Enumeration Date: 08/26/2024
  • Last Update Date: 08/26/2024

Medical Identifiers

Medical identifiers for Jessica La Shaun Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275367054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11034950 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica La Shaun Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica La Shaun Jackson, PMHNP-BC
2850 Nw 6th Ct,
Fort Lauderdale, FL 33311-7665

Ph: (754) 707-3144
Jessica La Shaun Jackson, PMHNP-BC
2525 Embassy Dr Ste 14,
Hollywood, FL 33026-4573

Ph: (754) 707-3144

Reviews and Comments


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