NPI 1487950846

Dorothy Mae Jackson

Practitioner Community Health Worker Gainesville, FL

Practice location

Address: 310 SW 99th St, Gainesville, FL 32607-1372
Phone: (352) 332-1155
Fax: (352) 331-6391

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 26-0167133 (FL)

Other Community Health Worker providers in Florida →

Registry record

NPI: 1487950846
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2011
Record last updated: 2 Feb 2011

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.