Jackson, Andrea

Jackson, Andrea is an individual health care provider with primary practice located at 10040 Hillview Dr , Pensacola FL 32514-5499. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Jackson, Andrea can be contacted via phone (850) 607-6024.

Contact Information

Primary practice address
10040 Hillview Dr Pensacola FL 32514-5499
Phone: (850) 607-6024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PTA 21106 Florida

Profile Details

NPI number 1598175911
LBN Legal business name Jackson, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated May 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598175911 NPPES
Florida MEDICAID 314000000X

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