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Mrs. Carolyn Jackson12
Attendant Care Provider in Lakeland, Florida
NPI 1255077574

Carolyn Jackson12 is an Attendant Care Provider based in Lakeland, FL and is specialized in Attendant Care Provider. Carolyn Jackson12 practices in Lakeland, FL. The NPI Number for Carolyn Jackson12 is 1255077574 and holds a License No. (Florida).

The current practice location address for Carolyn Jackson12 is 6835 Huntington Hills Blvd, Lakeland, FL and can be reached out via phone at 863-602-4686.

Location: 6835 Huntington Hills Blvd, Lakeland, FL, 33810-5379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255077574
Provider Name
Carolyn Jackson12
Credential
Provider Entity Type
Individual
Gender
Female
Address
6835 Huntington Hills Blvd, Lakeland, FL, 33810-5379
Phone Number
863-602-4686
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6835 Huntington Hills Blvd
City
Lakeland
State
Florida
Zip
33810-5379
Phone Number
863-602-4686
Fax Number
person
Provider Business Mailing Address Details
Address
6835 Huntington Hills Blvd
City
Lakeland
State
Florida
Zip
33810-5379
Phone Number
863-602-4686
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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