IndividualActive
Alecia Jack
NPI 1972067262 · Homemaker · Kissimmee, FL
Provider details
- NPI number
- 1972067262
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BTR13349 (FL)
Mailing address
1909 Brack St
Kissimmee, FL 34744-3422
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2019-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.