Gerald Derand Jackson
Gerald Derand Jackson is registered under Independent Duty Corpsman in Jacksonville, Florida. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2104 Massey AveJacksonville, FL 32228 Not confirmed with CMS for 17 years — call before visiting
Phone: (904) 270-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1962661363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | August 3, 2009 |
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