Jackson, Simone

Jackson, Simone is an individual health care provider with primary practice located at 3491 Gandy Blvd N #201, Pinellas Park FL 33781-2658. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Simone can be contacted via phone (727) 888-2274.

Contact Information

Primary practice address
3491 Gandy Blvd N #201 Pinellas Park FL 33781-2658
Phone: (727) 888-2274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437519394
LBN Legal business name Jackson, Simone
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Sep 25th, 2019 - 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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