Individual
JAKIYA ALEXIS WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8751 BARCO LN, JACKSONVILLE, FL 32244-1054
(904) 383-2754
Mailing address
8751 BARCO LN, JACKSONVILLE, FL 32244-1054
(904) 383-2754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
240031
FL
347C00000X
Private Vehicle
240031
FL
372500000X
Chore Provider
Primary
240031
FL
372600000X
Adult Companion
240031
FL
3747A0650X
Attendant Care Provider
240031
FL
3747P1801X
Personal Care Attendant
240031
FL
374U00000X
Home Health Aide
240031
FL
376J00000X
Homemaker
240031
FL
376K00000X
Nurse's Aide
240031
FL
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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