Individual
JENICE ANTOINETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 BOND ST, ARCADIA, FL 34266-3012
(863) 244-9112
Mailing address
706 BOND ST, ARCADIA, FL 34266-3012
(863) 244-9112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9637641
FL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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