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Kathleen Jackson
NPI 1427699685 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3788 Jackson Community Rd
Vernon, FL 32462 - Phone
- (850) 527-7197
Registry record
- Primary taxonomy
- Attendant Care Provider
3747A0650X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-30
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