MISS Stephanie Kay Jackson
NPI #1164019774 in Winter Haven, Florida
Provider Information
- NPI Number
- 1164019774
- Entity Type
- Individual
- Name
- MISS Stephanie Kay Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 29, 2020
- Last Updated
- Aug 5, 2022
Practice Location
- Address
- 199 AVENUE B NW
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-4546
- Phone
- (863) 293-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Acute Care — Acute Care |
| Nurse Practitioner - Family — Family |
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