RAVEN JACKSON

Technician - Personal Care Attendant

Active Individual
NPI: 1972496347

Practice Address

1818 SW LESLIE GLN
Lake City, FL 32025

Phone: (386) 406-7236

Specialties

Specialty Code Primary License
Driver 172A00000X No J250-732-83-834-0 (FL)
Technician - Personal Care Attendant 3747P1801X Yes CNA-18322 (FL)

Frequently Asked Questions

NPI 1972496347 is the National Provider Identifier for RAVEN JACKSON, a Technician - Personal Care Attendant provider located in Lake City, FL. This NPI was enumerated on June 2, 2025.
RAVEN JACKSON practices at 1818 SW LESLIE GLN, Lake City, FL 32025.

Quick Facts

NPI
1972496347
Type
Individual
Enumerated
Jun 2, 2025
Last Updated
Jun 2, 2025

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