Mildred Jean Lee-Jackson, PT
Specialist · Niceville, FL
Practice location
178 Howard StNiceville, FL 32578-8022
- Phone
- (850) 678-6436
NPI record
- NPI
- 1780859728
- Entity type
- Individual (Type 1)
- Enumeration date
- April 29, 2008
- Last updated
- April 29, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
PT0003333 | FL |
About Mildred Lee-Jackson
Mildred Jean Lee-Jackson, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 178 Howard St, Niceville, FL 32578-8022. The NPI number 1780859728 was assigned on April 29, 2008 and the record was last updated on April 29, 2008.
Mildred Lee-Jackson lists a license in the registry: #PT0003333 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mildred Jean Lee-Jackson, PT?
The NPI number is 1780859728.
What is the phone number of Mildred Lee-Jackson?
The phone number listed for the practice location is (850) 678-6436.
Where is Mildred Lee-Jackson located?
178 Howard St, Niceville, FL 32578-8022.
What is the taxonomy code for Mildred Lee-Jackson?
The primary taxonomy code is 174400000X – Specialist.
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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