Theona Alexee Jackson

NPI # 

Practice Address:

7342 Nw 48Th St

Lauderhill, FL, 33319-3401

Practice Phone:

954-471-3500

License Number:

APRN9245393

License State:

FL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 3/7/2019. You can view the original data set for NPI # 1699242446 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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