Chevon Jackson, MSW

NPI 1740767649 · on the registry since 2018 · sole proprietor

Practice

Address: 525 Nw Lake Whitney Pl Ste 102
Port St Lucie, FL 34986
Phone: (772) 337-8164
Fax: (772) 337-8165
Organisation at this address: Bsam Holdings Inc
Remway Port St Lucie, Llc
Infinity Home Care Of District 9
Mpp Infusion Center Of Port St Lucie Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-07-24

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