Individual provider · Type 1 NPI
Jacqueline Marie Jackson
Administrator Registered Nurse · Homestead, FL
NPI number
1972277317
Active
Practice location
24267 SW 117th Ave
Homestead, FL 33032-4404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 9300641 (FL) |
| Gerontology Registered Nurse | 163WG0600X | 9303641 (FL) |
| Infection Control Registered Nurse | 163WI0600X | 9303641 (FL) |
| Wound Care Registered Nurse | 163WW0000X | 9303641 (FL) |
| Administrator Registered Nurse Primary | 163WA2000X | 9303641 (FL) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Homestead
About NPI 1972277317
Jacqueline Marie Jackson's National Provider Identifier is 1972277317, issued on Aug 8, 2021. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Homestead, FL. The record was last updated on Aug 8, 2021.