Individual
JACQUELINE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10421 BRIARCLIFF RD E, JACKSONVILLE, FL 32218-5439
(904) 699-8732
Mailing address
10421 BRIARCLIFF RD E, JACKSONVILLE, FL 32218-5439
(904) 699-8732
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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