RENUKA JACKSON
Nurse Practitioner
Active
Individual
NPI: 1093330714
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 11007300 (FL) |
Frequently Asked Questions
NPI 1093330714 is the National Provider Identifier for RENUKA JACKSON, a Nurse Practitioner provider located in Fort Myers, FL. This NPI was enumerated on June 9, 2020.
RENUKA JACKSON practices at 6150 DIAMOND CENTRE CT UNIT 100, Fort Myers, FL 33912.
Quick Facts
- NPI
- 1093330714
- Type
- Individual
- Enumerated
- Jun 9, 2020
- Last Updated
- Jun 9, 2020
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