Search › Florida › 163WA2000X
Jacqueline Jackson
NPI 1972277317 · on the registry since 2021 · sole proprietor
Practice
- Address
- 24267 Sw 117th Ave
Homestead, FL 33032 - Phone
- (305) 951-8358
Registry record
- Primary taxonomy
- 163WA2000X
163WA2000X
- Also registered as
- 163WG0000X
163WG0600X
163WI0600X
163WW0000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-08
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