Alecia Jack
NPI 1972067262 · on the registry since 2019
Practice
- Address
- 1909 Brack St
Kissimmee, FL 34744 - Phone
- (772) 713-1397
Registry record
- Primary taxonomy
- Homemaker
376J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-30
- Status
- Not present in the most recent federal file
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