Lookup NPI Numbers from the NPI Registry
NPI Profile for JACQUELINE M JACKSON in HOMESTEAD, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X | |||
General Practice |
163WG0000X | |||
Gerontology |
163WG0600X | |||
Infection Control |
163WI0600X | |||
Wound Care |
163WW0000X |
| NPI # | 1972277317 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/08/2021 | |
| Last updated | 08/08/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACQUELINE M JACKSON
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JACQUELINE M JACKSON