Individual
MRS. VICTORIA ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2354 CHRISTOPHER PL, TALLAHASSEE, FL 32308-4109
(850) 681-6001
(850) 681-6003
Mailing address
2354 CHRISTOPHER PL, TALLAHASSEE, FL 32308-4109
(850) 681-6001
(850) 681-6003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5185093
FL
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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