Jackson, Julliet
Jackson, Julliet is an sole proprietor health care provider with primary practice located at 17345 Edgewater Dr , Port Charlotte FL 33948-2343. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Jackson, Julliet can be contacted via phone (941) 766-0175.Contact Information
Primary practice address
17345 Edgewater Dr
Port Charlotte FL 33948-2343
Phone: (941) 766-0175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6905617 | Florida |
Profile Details
| NPI number | 1922438464 |
|---|---|
| LBN Legal business name | Jackson, Julliet |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2013 |
| Last updated | Nov 20th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922438464 | NPPES |
| Florida | MEDICAID | 142038100 |
Popular Providers
-
Hendricks, Raymond B
1306 Annette St , Port Charlotte FL 33980 -
Taylor, Robert E
8905 Harvey Ln , Port Richey FL 34668-5212 -
Nelson, Sharon Marcia
21459 Seaton Ave , Port Charlotte FL 33954-3251 -
Salien, Jean Marie
6817 Nw Granger Ave , Port St Lucie FL 34983-1306 -
Simmons, Annette
1292 Dorchester St , Port Charlotte FL 33954 -
Santos, Esmeralda
9421 Barrington Ln , Port Richey FL 34668-4456 -
Mccarron, Stephanie L.
6163 Maplewood Dr , New Port Richey FL 34653-4734 -
Sabillena, Mary
7104 Box Elder Dr , Port Richey FL 34668-6906