Raven Jackson
Raven Jackson is a Driver in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2025.
- Licensed in
- FL
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1818 SW Leslie GlnLake City, FL 32025-1406
Phone: (386) 406-7236
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence CNA-18322 (FL) |
|---|---|
| Driver | Taxonomy 172A00000X · Licence J250-732-83-834-0 (FL) |
Record details
| NPI number | 1972496347 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 2, 2025 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 2, 2025 |
| Mailing address | 1818 Sw Leslie Gln, Lake City, FL 32025-1406 |
Other providers in Lake City
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Angel Martin Hull
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-
Brittnee Jernigan
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-
Anthony L Jones
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-
Takita Lyshawn Lee
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MS. Quatavia Sharnesh Robinson, CERTIFIEDNURSINGAS
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