Jackson, Charlene Marie
Jackson, Charlene Marie is an sole proprietor health care provider with primary practice located at 1000 W Broadway St Ste 214 , Oviedo FL 32765-9262. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Jackson, Charlene Marie can be contacted via phone (407) 359-5693.Contact Information
Primary practice address
1000 W Broadway St Ste 214
Oviedo FL 32765-9262
Phone: (407) 359-5693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | RN9237888 | Florida |
Profile Details
| NPI number | 1134759855 |
|---|---|
| LBN Legal business name | Jackson, Charlene Marie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2020 |
| Last updated | Jan 22nd, 2020 - about 5 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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