Lakesha Jackson
Home Health in Indiantown, FL. Individual provider (NPI-1).
NPI number1013881978
StatusActive
Last updated in NPPESOct 2, 2025
Details
- NPI
- 1013881978
- Entity type
- Individual (NPI-1)
- Name
- Lakesha Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2025
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | FL | Yes |
Practice location
14782 Sw 171st AveIndiantown, FL 34956-3938
Phone 772-475-6208
Mailing address
14752 Sw 175th CtIndiantown, FL 34956-3925
Phone 772-475-6208
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