Jackson, Lillie Pearl

Jackson, Lillie Pearl is an sole proprietor health care provider with primary practice located at 1611 W 35Th St , Riviera Beach FL 33404-2925. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Lillie Pearl can be contacted via phone (561) 542-9923.

Contact Information

Primary practice address
1611 W 35Th St Riviera Beach FL 33404-2925
Phone: (561) 542-9923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5175495 Florida

Profile Details

NPI number 1174039945
LBN Legal business name Jackson, Lillie Pearl
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 9 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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