Individual provider · Type 1 NPI
Patrice Jackson
Driver · Winter Haven, FL
NPI number
1689589905
Active
Practice location
1925 Avenue O SW Unit 104
Winter Haven, FL 33880-2720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Winter Haven
About NPI 1689589905
Patrice Jackson's National Provider Identifier is 1689589905, issued on Aug 19, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Winter Haven, FL. The record was last updated on Aug 19, 2026.