IndividualActive
Carolyn Jackson12
NPI 1255077574 · Attendant Care Provider · Lakeland, FL
Carolyn Jackson12 is a Attendant Care Provider provider in Lakeland, FL (NPI 1255077574).
Provider details
- NPI number
- 1255077574
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6835 Huntington Hills Blvd
Lakeland, FL 33810-5379
Phone: (863) 602-4686
Street-level locationGet directions
Mailing address
6835 Huntington Hills Blvd
Lakeland, FL 33810-5379
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Frequently asked questions
- What is Carolyn Jackson12's NPI number?
- Carolyn Jackson12's National Provider Identifier (NPI) is 1255077574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Jackson12's specialty?
- Carolyn Jackson12 is listed in the NPPES registry with a primary specialty of Attendant Care Provider (Nursing Service Related Providers).
- Where is Carolyn Jackson12 located?
- Carolyn Jackson12's practice location on file with NPPES is 6835 Huntington Hills Blvd, Lakeland, FL 33810-5379.
- What is Carolyn Jackson12's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Jackson12 is (863) 602-4686.
- Is Carolyn Jackson12's NPI active?
- Yes — Carolyn Jackson12's NPI (1255077574) is active in the NPPES registry as of the last update on 2022-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.