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Mardell Jackson
NPI 1598247009 · Assisted Living Facility · Lake City, FL
Mardell Jackson is a Assisted Living Facility provider in Lake City, FL (NPI 1598247009).
Provider details
- NPI number
- 1598247009
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
197 Nw Gwen Lake Ave
Lake City, FL 32055-3711
Phone: (386) 697-9425
Street-level locationGet directions
Mailing address
Po Box 2666
Lake City, FL 32056-2666
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2018-08-30
Frequently asked questions
- What is Mardell Jackson's NPI number?
- Mardell Jackson's National Provider Identifier (NPI) is 1598247009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mardell Jackson's specialty?
- Mardell Jackson is listed in the NPPES registry with a primary specialty of Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Mardell Jackson located?
- Mardell Jackson's practice location on file with NPPES is 197 Nw Gwen Lake Ave, Lake City, FL 32055-3711.
- What is Mardell Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mardell Jackson is (386) 697-9425.
- Is Mardell Jackson's NPI active?
- Yes — Mardell Jackson's NPI (1598247009) is active in the NPPES registry as of the last update on 2018-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.