LEE DOUGLAS JACKSON

FORT MYERS, FL
NPI1053602102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11027444)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60602473)
363LF0000X Nurse Practitioner, Family
(Licence: MO  2011003377)
363L00000X Nurse Practitioner
(Licence: WA  AP60602473)
363LF0000X Nurse Practitioner, Family
(Licence: KS  5375350071)
Enumeration Date2011-04-25
Last Update Date2025-10-03
Business Address
LEE DOUGLAS JACKSON NP-C
16271 BASS RD
FORT MYERS, FL 33908-3616
Phone number: 239-343-7100
Mailing Address
LEE DOUGLAS JACKSON NP-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9100