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

Individual provider Developmental Therapist · NPI 1225851538

Jacqueline Patrice Vickers, MED is a Developmental Therapist in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

2137 Tehama Ct
Lakeland, FL 33805-3079
Phone: (863) 430-7307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1225851538
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedNovember 5, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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