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Contact Information

NOVEYANA JACKSON
7749 NORMANDY BLVD STE 121-138
JACKSONVILLE, FL32221-7657
 Phone: 352-207-3208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for NOVEYANA JACKSON · (Female)

NPI Number 1518762129
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2025
Last updated 02/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # RN9633628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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