Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE JACKSON II
Active Sole ProprietorWILLIE JACKSON II is a Day Training/Habilitation healthcare provider located in JACKSONVILLE, Florida. NPI 1700995792 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1700995792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.982059986915 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1860 MEMORY LNJACKSONVILLE, FL, 322101308Browse FL providers · Browse ZIP 32210
- Phone
- 9042650340
- Fax
- 9042651906
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| SUSAN NORTON GRAVES | — | 1033104559 |
| MARIA DE ROSADO | — | 1770578890 |
| CLARENCE LEONARD PINKNEY | — | 1215922372 |
| ANGELA M PRIDGEON | — | 1104804517 |
| ROSE BYRON | — | 1093727323 |
| TAWANA LIZZMORE | — | 1720090038 |
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.