Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366122871 Individual Practitioner Female Practitioner

Regina Jackson , LPN

Licensed Practical Nurse • Marianna, FL

Professional Overview & Biography Verified Profile Summary

Regina Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Marianna, FL. Practice services are available at 4094 LAFAYETTE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4094 Lafayette St

Marianna, FL 324465648

Telephone 8504827441
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Marianna, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Marianna, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN1240831

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Bennett Samuels , LCSW

Social Worker - Clinical

NPI 1417939372

Licensed Clinical Social Worker

Laura Swalley , LMHC

Counselor - Mental Health

NPI 1437398146

Licensed Mental Health Counselor

Deborah Mobley , LMHC

Counselor - Mental Health

NPI 1568452860

Licensed Mental Health Counselor

Willie Spires , LMHC

Counselor - Mental Health

NPI 1588646442

Licensed Mental Health Counselor

Lynette Hornsby , LMHC

Counselor - Mental Health

NPI 1619959574

Licensed Mental Health Counselor

Tamera Mcglamory , LMHC

Counselor - Mental Health

NPI 1942284575

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2023

Registered at 4094 LAFAYETTE ST, MARIANNA, FL 324465648 (Tel: 8504827441)

📍
Updated Business Mailing Address July 19, 2023

Registered at 4300 CENTURY RD, GREENWOOD, FL 324431928 (Tel: 2544268975)

👤
Provider Name / Credentials Updated July 19, 2023

Recorded as REGINA JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Licensed Practical Nurse (License #PN1240831 in FL)

🟢
Initial NPI Registration & Enumeration July 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366122871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2023
Last Update: July 19, 2023
Sole Proprietor: No

Mailing Address

4300 Century Rd

Greenwood, FL 324431928

Phone: 2544268975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.