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

Dr. Jessica Nicole Chacko, MD

Individual provider Pediatrics Physician · NPI 1790273852

Dr. Jessica Nicole Chacko, MD is a Pediatrics Physician in Lithia, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12649 Horseshoe Bend Dr
Lithia, FL 33547-3311
Phone: (775) 233-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 970 Cypress Village Blvd, Sun City Center, FL 33573-6830 — (813) 359-1561

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME150652 (FL)

Record details

NPI number1790273852
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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