NPI 1922438464
Julliet Jackson
Practice location
- Address
- 17345 Edgewater Dr, Port Charlotte, FL 33948-2343
- Phone
- (941) 766-0175
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1922438464
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Nov 2013
- Record last updated
- 20 Nov 2013
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.