IndividualActive
Elmira Jackson
NPI 1124562632 · Nurse's Aide · Perry, FL
Provider details
- NPI number
- 1124562632
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 119839 (FL)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
500 S Warner Ave Apt I4
Perry, FL 32348-5303
Phone: (850) 661-0328
Approximate (ZIP-level) locationGet directions
Mailing address
500 S Warner Ave Apt I4
Perry, FL 32348-5303
Registry dates
- Enumerated
- 2016-12-19
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.