Individual
AJITHA JICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2553 E SILVER SPRINGS BLVD, OCALA, FL 34470-7009
(352) 732-6599
Mailing address
2553 E SILVER SPRINGS BLVD, OCALA, FL 34470-7009
(352) 732-6599
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1102670
FL
Other
Enumeration date
06/09/2023
Last updated
02/01/2024
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