Individual
MRS. JAMIE NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
RN9260245
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11008930
FL
Other
Enumeration date
09/01/2020
Last updated
09/29/2021
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