Ruth Jackson

Contractor · Greenacres, FL

Individual Active NPI

NPI number 1669144317

Practice location

225 Swain Blvd
Greenacres, FL 33463
Phone
(561) 635-5130

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NPI record

NPI
1669144317
Entity type
Individual (Type 1)
Enumeration date
October 1, 2021
Last updated
October 1, 2021
Certified
September 14, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 081972 FL
Contractor 171W00000X 091972 FL

About Ruth Jackson

Ruth Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 225 Swain Blvd, Greenacres, FL 33463. The NPI number 1669144317 was assigned on October 1, 2021 and the record was last updated on October 1, 2021.

Ruth Jackson lists 2 licenses in the registry: #081972 (FL) for Contractor; #091972 (FL) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ruth Jackson?

The NPI number is 1669144317.

What is the phone number of Ruth Jackson?

The phone number listed for the practice location is (561) 635-5130.

Where is Ruth Jackson located?

225 Swain Blvd, Greenacres, FL 33463.

What is the taxonomy code for Ruth Jackson?

The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.

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.

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