NPI Profile for Dr LASHENA JACKSON in JACKSONVILLE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Infusion Therapy |
261QI0500X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1427688597 |
|
| Status | Active | |
| Credentials | DNP ARNP FNP-BC | |
| Entity | Individual | |
| Enumeration date | 01/17/2020 | |
| Last updated | 09/26/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LASHENA JACKSON
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