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Johnneisha Jackson
NPI 1760155212 · on the registry since 2021
Practice
- Address
- 500 Fairway Dr
Deerfield Bch, FL 33441 - Phone
- (954) 546-1188
- Clinicians at this address
- 94
Additional practice sites
- 25115 Stanford Ave Suite A100, Valencia, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida