Individual
LAKIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4016 CORNISH DR, TALLAHASSEE, FL 32303-2208
(850) 345-4481
Mailing address
4016 CORNISH DR, TALLAHASSEE, FL 32303-2208
(850) 345-4481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9456473
FL
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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