Individual provider · Type 1 NPI
Raven Jackson
Personal Care Attendant · Lake City, FL
Practice location
1818 SW Leslie Gln
Lake City, FL 32025-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | J250-732-83-834-0 (FL) |
| Personal Care Attendant Primary | 3747P1801X | CNA-18322 (FL) |
Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Other personal care attendant providers in Lake City
About NPI 1972496347
Raven Jackson's National Provider Identifier is 1972496347, issued on Jun 2, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Lake City, FL. The record was last updated on Jun 2, 2025.