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MS. TAMEATRICE MICHELLE JACKSON RN/CRT NPI 1386801421


NPI Information

NPI: 1386801421
Provider Name: MS. TAMEATRICE MICHELLE JACKSON, RN/CRT
Classification: Religious Nonmedical Nursing Personnel - 374T00000X
Entity Type: Individual
Address:
2506 CHESTNUT SPRINGS LN
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 382-1793
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MS. Tameatrice Michelle Jackson, RN/CRT is a religious nonmedical nursing personnel in Jacksonville, FL. The provider is religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and ambulation; nutritional needs; and comfort and support measures. MS. Tameatrice Michelle Jackson, RN/CRT NPI is 1386801421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2506 CHESTNUT SPRINGS LN
JACKSONVILLE, FL
ZIP 32246-323
Phone: (904) 382-1793
Fax: (904) 253-6759

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1374T00000XReligious Nonmedical Nursing PersonnelRN9255446FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1693464196MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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