Individual provider · Type 1 NPI
Jacqueline Lee Enterkin, RN
Pediatric Skilled Nursing Facility · Orlando, FL
NPI number
1689807703
Active
Practice location
7040 Lake Ellenor Dr
Orlando, FL 32809-5750
Fax (407) 856-6594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | RN 9286049 (FL) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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About NPI 1689807703
Jacqueline Lee Enterkin, RN's National Provider Identifier is 1689807703, issued on Aug 25, 2009. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Orlando, FL. The record was last updated on Aug 25, 2009.