Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULLIET JACKSON
Active Sole ProprietorAssisted Living Facility · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1922438464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2013 (12.479720873946 yrs)
- Last Updated
- Nov 20, 2013
- License
-
6905617 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17345 EDGEWATER DRPORT CHARLOTTE, FL, 339482343Browse FL providers · Browse ZIP 33948
- Phone
- 9417660175
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSYLIN AGATHA PARKES | — | 1023144409 |
| SHARON MARCIA NELSON | — | 1538503784 |
| MS. ANNETTE ANGELA THOMAS | — | 1174969588 |
| MR. RAYMOND B HENDRICKS | — | 1144699646 |
| ANNETTE SIMMONS | — | 1518425081 |
| MARY CHERY | — | 1679231732 |
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.