Jackson, Cenethia Lasha

Jackson, Cenethia Lasha is an individual health care provider with primary practice located at 439 Sw Michigan St , Lake City FL 32025-0440. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Cenethia Lasha can be contacted via phone (386) 487-0800.

Contact Information

Primary practice address
439 Sw Michigan St Lake City FL 32025-0440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5176478 Florida

Profile Details

NPI number 1053554873
LBN Legal business name Jackson, Cenethia Lasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Apr 9th, 2009 - about 15 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.

Request for update

Popular Providers