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

Mardell Jackson

Individual provider Assisted Living Facility · NPI 1598247009

Mardell Jackson is an Assisted Living Facility in Lake City, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

197 NW Gwen Lake Ave
Lake City, FL 32055-3711
Phone: (386) 697-9425
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1598247009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018
Mailing addressPo Box 2666, Lake City, FL 32056-2666

Other providers in Lake City