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1346748688
CARMEN RENEE JACKSON
LAKELAND, FL
NPI
1346748688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP935595)
Enumeration Date
2018-01-31
Last Update Date
2018-03-06
Business Address
Miss CARMEN RENEE JACKSON ARNP, FNP-BC
1005 N LAKE PARKER AVE
LAKELAND, FL 33805-4723
Phone number: 863-583-4053
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Mailing Address
Miss CARMEN RENEE JACKSON ARNP, FNP-BC
418 EUCLID AVE APT 4B
MIAMI BEACH, FL 33139-6526
Phone number: 305-726-4727
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