Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JADE JACKSON, L.D.O
ActiveMRS. JADE JACKSON, L.D.O is a Optician, Dispensing healthcare provider located in PALM COAST, Florida. NPI 1679630842 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PALM COAST, FL
Registration Details
- NPI Number
- 1679630842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2007 (19.593093430222 yrs)
- Last Updated
- Oct 19, 2020
- Licenses
-
DO5189 (FL)DO1284 (FL)DO3668 (FL)
Practice Information
- Address
-
1240 PALM COAST PKWY SWPALM COAST, FL, 321374700Browse FL providers · Browse ZIP 32137
- Phone
- 3864464210
- Fax
- 3864457309
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY JACKSON | — | 1518568971 |
| EMILIA SPENCER | — | 1144914706 |
| MRS. MARY BAKER POHL | DO | 1447033535 |
| MS. KELLY WILSE | LDO | 1508647959 |
| CAROLANNE MCWILLIAMS | LDO | 1285506550 |
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.