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

Julliet Jackson

Individual provider Adult Care Home Facility · NPI 1922438464

Julliet Jackson is an Adult Care Home Facility in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

17345 Edgewater Dr
Port Charlotte, FL 33948-2343
Phone: (941) 766-0175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 6905617 (FL)

Record details

NPI number1922438464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2013
Last updated in NPPESNovember 20, 2013
Mailing address17345 Edgewater Dr, Port Charlotte, FL 33948-2343

Other providers in Port Charlotte