Chandra Jackson

Licensed Practical Nurse · Gainesville, FL

Individual Active NPI

NPI number 1093080756

Practice location

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone
(352) 374-5600
Fax
(352) 374-5608

Open in Google Maps

NPI record

NPI
1093080756
Entity type
Individual (Type 1)
Enumeration date
March 14, 2012
Last updated
March 14, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X PN5202832 FL

About Chandra Jackson

Chandra Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 4300 SW 13TH St, Gainesville, FL 32608-4006. The NPI number 1093080756 was assigned on March 14, 2012 and the record was last updated on March 14, 2012.

Chandra Jackson lists a license in the registry: #PN5202832 (FL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chandra Jackson?

The NPI number is 1093080756.

What is the phone number of Chandra Jackson?

The phone number listed for the practice location is (352) 374-5600.

Where is Chandra Jackson located?

4300 SW 13TH St, Gainesville, FL 32608-4006.

What is the taxonomy code for Chandra Jackson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Licensed Practical Nurse providers in Gainesville

All Licensed Practical Nurse providers in Gainesville, FL →