Search › Florida › 3747P1801X
Raven Jackson
NPI 1972496347 · on the registry since 2025
Practice
- Address
- 1818 Sw Leslie Gln
Lake City, FL 32025 - Phone
- (386) 406-7236
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-02
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