Individual
DEMIKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 SALISBURY RD, JACKSONVILLE, FL 32256-6101
(904) 493-6190
Mailing address
13757 VICTORIA LAKES DR, JACKSONVILLE, FL 32226-5801
(904) 755-1799
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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