Jackson-Costello, Caryn Lee

Jackson-Costello, Caryn Lee is an sole proprietor health care provider with primary practice located at 229H Medallion Boulevard , Madeira Beach FL 33708. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson-Costello, Caryn Lee can be contacted via phone (727) 412-0569.

Contact Information

Primary practice address
229H Medallion Boulevard Madeira Beach FL 33708
Phone: (727) 412-0569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1023580545
LBN Legal business name Jackson-Costello, Caryn Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2018
Last updated Dec 21st, 2018 - about 8 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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