Individual provider · Type 1 NPI
Carolyn Jackson12
Attendant Care Provider · Lakeland, FL
Practice location
6835 Huntington Hills Blvd
Lakeland, FL 33810-5379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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About NPI 1255077574
Carolyn Jackson12's National Provider Identifier is 1255077574, issued on May 10, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Lakeland, FL. The record was last updated on May 10, 2022.