Jackson, Jacqueline Marie

Jackson, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 24267 Sw 117Th Ave , Homestead FL 33032-4404. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Gerontology, Nursing Service Providers / Infection Control, Nursing Service Providers / Wound Care, Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is her primary health care specialty. Jackson, Jacqueline Marie can be contacted via phone (305) 951-8358.

Contact Information

Primary practice address
24267 Sw 117Th Ave Homestead FL 33032-4404
Phone: (305) 951-8358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 9300641 Florida
Nursing Service Providers / Gerontology 163WG0600X 9303641 Florida
Nursing Service Providers / Infection Control 163WI0600X 9303641 Florida
Nursing Service Providers / Wound Care 163WW0000X 9303641 Florida
Nursing Service Providers / Administrator 163WA2000X 9303641 Florida

Profile Details

NPI number 1972277317
LBN Legal business name Jackson, Jacqueline Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2021
Last updated Aug 8th, 2021 - about 5 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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