Individual
TERNECIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 MEADOW TRL, CANTONMENT, FL 32533-2610
(850) 525-2308
Mailing address
1249 MEADOW TRL, CANTONMENT, FL 32533-2610
(850) 525-2308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9373887
FL
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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