Individual
DEANA GISELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3518 CYPRESS TRL APT D208, WEST PALM BEACH, FL 33417-3313
(561) 452-8262
Mailing address
3518 CYPRESS TRL APT D208, WEST PALM BEACH, FL 33417-3313
(561) 452-8262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9235518
FL
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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