Individual
NOVEYANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7749 NORMANDY BLVD STE 121-138, JACKSONVILLE, FL 32221-7657
(352) 207-3208
Mailing address
7749 NORMANDY BLVD STE 121-138, JACKSONVILLE, FL 32221-7657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9633628
FL
163WA2000X
Administrator Registered Nurse
RN9633628
FL
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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