Alexandra Jabornik Jackson, is a
Clinical Nurse Specialist - Pediatrics based in St Johns, Florida. Alexandra Jabornik Jackson is licensed to practice in Florida (license number APRN11027845) and her current practice location is
4125 Race Track Rd Unit 104, St Johns, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 222-6364.
NPI number for Alexandra Jabornik Jackson is 1770218513 and her current mailing address is 4125 Race Track Rd Unit 104, St Johns, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770218513.
Provider's Profile
| Full Name | Alexandra Jabornik Jackson |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Pediatrics |
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| Location | 4125 Race Track Rd Unit 104, St Johns, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770218513
- Provider Enumeration Date: 07/17/2022
- Last Update Date: 11/20/2025
Medical Identifiers
Medical identifiers for Alexandra Jabornik Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770218513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0200X | Clinical Nurse Specialist - Pediatrics | APRN11027845 (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. Alexandra Jabornik 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 Address | Practice Location Address |
Alexandra Jabornik Jackson, 4125 Race Track Rd Unit 104, St Johns, FL 32259-2389 Ph: (904) 222-6364 | Alexandra Jabornik Jackson, 4125 Race Track Rd Unit 104, St Johns, FL 32259-2389 Ph: (904) 222-6364 |
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