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Individual
MS. LADAYSHA L JACKSON
Active
Individual
MS. LADAYSHA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9361683
FL
363LF0000X
Family Nurse Practitioner
R872968
MS
Other
Enumeration date
03/08/2013
Last updated
10/07/2020
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