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Patrice Jackson
NPI 1689589905 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1925 Avenue O Sw Unit 104
Winter Haven, FL 33880 - Phone
- (863) 662-8896
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-19
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