Alecia Vanessa Stephanie Jack

Homemaker · Kissimmee, FL

Individual Active NPI

NPI number 1972067262

Practice location

1909 Brack St
Kissimmee, FL 34744-3422
Phone
(772) 713-1397

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NPI record

NPI
1972067262
Entity type
Individual (Type 1)
Enumeration date
January 30, 2019
Last updated
January 30, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X BTR13349 FL

About Alecia Jack

Alecia Vanessa Stephanie Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 1909 Brack St, Kissimmee, FL 34744-3422. The NPI number 1972067262 was assigned on January 30, 2019 and the record was last updated on January 30, 2019.

Alecia Jack lists a license in the registry: #BTR13349 (FL) for Homemaker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alecia Vanessa Stephanie Jack?

The NPI number is 1972067262.

What is the phone number of Alecia Jack?

The phone number listed for the practice location is (772) 713-1397.

Where is Alecia Jack located?

1909 Brack St, Kissimmee, FL 34744-3422.

What is the taxonomy code for Alecia Jack?

The primary taxonomy code is 376J00000X – Homemaker.

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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