Search › Florida › 363AS0400X
Stacie Jackson, PA
NPI 1770248668 · on the registry since 2021
Practice
- Address
- 3627 University Blvd S Ste 550
Jacksonville, FL 32216 - Phone
- (904) 379-5986
- Organisation at this address
- Florida Woman Care Llc
Chris B Rathburn Md Pa
Florida Woman Care, Llc
Memorial Advanced Surgery
South Atlantic Retina PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 92
Additional practice sites
- 5540 Ne 4th St, Ocala, FL
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida