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NELDA JACKSON MA LMHCCAP NPI 1558789917


NPI Information

NPI: 1558789917
Provider Name: NELDA JACKSON, MA, LMHC,CAP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2725 STATE ROAD 60 E
BARTOW, FL
ZIP 33830
Phone: (863) 533-5860
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Nelda Jackson, MA, LMHC,CAP is a mental health counselor in Bartow, FL. Nelda Jackson, MA, LMHC,CAP NPI is 1558789917. 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:

2725 STATE ROAD 60 E
BARTOW, FL
ZIP 33830-872
Phone: (863) 533-5860
Fax: (863) 519-6983

The enumeration date for this NPI number is 4/2/2014 and was last updated on 4/2/2014.


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
1101YM0800XCounselorMental HealthMH11378FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.