Doctor profile · Federal record

Dr. Mary Jackson, FNP

Family Nurse Practitioner · Jacksonville, FL

  • NPI 1780664854
  • 20 yrs on file
  • Female
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2080 Child St
Jacksonville, FL 322145005
(904) 542-7516
fax (904) 542-7913
Mailing address
2521 Sunny Creek Dr
Orange Park, FL 320034970

Credentials & registration

NPPES · NUCC
NPI registered
January 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
California #420469

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1780664854. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$4,763
Transactions
4
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medtronic, Inc. 4 $4,762.71

By nature of payment

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
$4,763

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Jackson's medical specialty?
Dr. Mary Jackson practices Family Nurse Practitioner in Jacksonville, FL.
Where does Dr. Mary Jackson practice?
Dr. Mary Jackson practices at 2080 Child St, Jacksonville, FL 322145005. Office phone: 9045427516.
What is Dr. Mary Jackson's NPI?
Dr. Mary Jackson's National Provider Identifier (NPI) is 1780664854, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jun 1, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›