Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alecia Vanessa Stephanie Jack

Individual provider Homemaker · NPI 1972067262

Alecia Vanessa Stephanie Jack is a Homemaker in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

1909 Brack St
Kissimmee, FL 34744-3422
Phone: (772) 713-1397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X · Licence BTR13349 (FL)

Record details

NPI number1972067262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019

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