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Niketa Jackson
Driver in Parrish, Florida
NPI 1720589781

Niketa Jackson is a Driver based in Parrish, FL. Niketa Jackson practices in Parrish, FL. The NPI Number for Niketa Jackson is 1720589781 and holds a License No. (Florida).

The current practice location address for Niketa Jackson is 11811 Erie Rd, Parrish, FL and can be reached out via phone at 941-417-7979 and via fax at 941-417-7999.

Location: 11811 Erie Rd, Parrish, FL, 34219-6510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720589781
Provider Name
Niketa Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11811 Erie Rd, Parrish, FL, 34219-6510
Phone Number
941-417-7979
Fax Number
941-417-7999
Provider Enumeration Date
02/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11811 Erie Rd
City
Parrish
State
Florida
Zip
34219-6510
Phone Number
941-417-7979
Fax Number
941-417-7999
person
Provider Business Mailing Address Details
Address
11811 Erie Rd
City
Parrish
State
Florida
Zip
34219-6510
Phone Number
941-417-7979
Fax Number
941-417-7999
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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