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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LILLIE PEARL JACKSON, LPN

Active Sole Proprietor

LILLIE PEARL JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in RIVIERA BEACH, Florida. NPI 1174039945 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · RIVIERA BEACH, FL

Registration Details

NPI Number
1174039945
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2017 (8.6237412431626 yrs)
Last Updated
Dec 15, 2017
License
PN5175495 (FL)
Sole Proprietor
Yes

Practice Information

Address
1611 W 35TH ST
RIVIERA BEACH, FL, 334042925
Browse FL providers · Browse ZIP 33404
Phone
5615429923
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in RIVIERA BEACH, FL

Name Credential NPI
MS. TARALIN SIMMONS MOORE LPN 1689638413
CARLA STRACHAN 1629296942
LINDA GORDON LPN 1013106848
MRS. CANDICE MARIE FRANCK 1306288378
FELESHIA BYTHWOOD TISSIERA LPN 1558874545
ALICIA D ADAMS LPN 1770107823
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.