NPI 1407646813
Ta'Sheika Jackson
Practice location
- Address
- 226 S Marion Ave, Lake City, FL 32025-7058
- Phone
- (866) 332-5682
- Fax
- (866) 332-5682
- Mailing address
- 250 NW Main Blvd STE 12, Lake City, FL 32055-3380
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1407646813
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2025
- Record last updated
- 4 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.