Jack, Alecia Vanessa Stephanie

Jack, Alecia Vanessa Stephanie is an individual health care provider with primary practice located at 1909 Brack St , Kissimmee FL 34744-3422. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Jack, Alecia Vanessa Stephanie can be contacted via phone (772) 713-1397.

Contact Information

Primary practice address
1909 Brack St Kissimmee FL 34744-3422
Phone: (772) 713-1397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X BTR13349 Florida

Profile Details

NPI number 1972067262
LBN Legal business name Jack, Alecia Vanessa Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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