Individual
NAKITIA LETRECIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ARNP, AANP, ANCC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9182178
FL
363LF0000X
Family Nurse Practitioner
ARNP9182178
FL
Other
Enumeration date
08/15/2013
Last updated
06/01/2015
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