Renuka Jackson
NPI #1093330714 in Fort Myers, Florida
Provider Information
- NPI Number
- 1093330714
- Entity Type
- Individual
- Name
- Renuka Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 9, 2020
- Last Updated
- Jun 9, 2020
Practice Location
- Address
- 6150 DIAMOND CENTRE CT UNIT 100
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33912-4367
- Phone
- (239) 561-9191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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