Renuka Jackson

NPI 1093330714 · on the registry since 2020

Practice

Address: 6150 Diamond Centre Ct Unit 100
Fort Myers, FL 33912
Phone: (239) 561-9191
Organisation at this address: Univv 4 Inc
Fred A Liebowitz Md Pa
Fred A Liebowitz Md Pa
Ft Myers Dental Service Pa
Nms Weightloss Clinic I Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida