Individual
JACQUELINE G STOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9921 NORTH KINGS RD, UNIT #107, JACKSONVILLE, FL 32219
(904) 994-8124
Mailing address
1440 EDGEWOOD AVE W UNIT 9351, JACKSONVILLE, FL 32208-9208
(904) 994-8124
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
239373
FL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/06/2023
Last updated
06/30/2023
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