Jacqueline Marie Jackson
NPI 1972277317ActiveIndividual· Registered Nurse, Administrator· Homestead, FL
Registered Nurse, Administrator in Homestead, Florida, licensed in FL, with an NPI issued in August 2021.
Overview
| NPI | 1972277317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 8, 2021 |
| Last updated in NPPES | Aug 8, 2021 |
| Certified by provider | Aug 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Administrator Primary | 163WA2000X | 9303641 | FL |
| Registered Nurse, General Practice | 163WG0000X | 9300641 | FL |
| Registered Nurse, Gerontology | 163WG0600X | 9303641 | FL |
| Registered Nurse, Infection Control | 163WI0600X | 9303641 | FL |
| Registered Nurse, Wound Care | 163WW0000X | 9303641 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Registered Nurse, Administrator providers in Homestead
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