Mrs. Carolyn Jackson12
Mrs. Carolyn Jackson12 is an Attendant Care Provider in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6835 Huntington Hills BlvdLakeland, FL 33810-5379
Phone: (863) 602-4686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1255077574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
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