Individual
VICKIE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8947 NE 106TH LN, THE VILLAGES, FL 32162-3622
(352) 348-3429
Mailing address
8947 NE 106TH LN, THE VILLAGES, FL 32162-3622
(352) 348-3429
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RN2038612
FL
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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