Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROLYN JACKSON12
Active Sole ProprietorMRS. CAROLYN JACKSON12 is a Podiatric Surgery healthcare provider located in LAKELAND, Florida. NPI 1255077574 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · LAKELAND, FL
Registration Details
- NPI Number
- 1255077574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2022 (4.30280313785 yrs)
- Last Updated
- May 10, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
6835 HUNTINGTON HILLS BLVDLAKELAND, FL, 338105379Browse FL providers · Browse ZIP 33810
- Phone
- 8636024686
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| LINDA LOU RITTER | — | 1235787367 |
| ALESHAVON ERVIN | — | 1588214282 |
| HEATHER SAWTELLE | — | 1033750377 |
| ALMA J MCCLOUD | — | 1497400386 |
| MRS. BARBARA W SMITH | — | 1326870379 |
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.