BEULAH JACKSON PHLEBOTOMIST
NPI 1225797566
Technician, Pathology - Phlebotomy in Wildwood, FL

Active since December 14, 2021
603 PETERS ST, WILDWOOD, FL 34785(352) 292-6433 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beulah Jackson Phlebotomist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEULAH JACKSON PHLEBOTOMIST (NPI 1225797566) is an individual phlebotomy provider in Wildwood, Florida and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1225797566
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameBEULAH JACKSONCredential: PHLEBOTOMIST
Location Address603 PETERS STWildwood, FL 34785-3927
Mailing AddressPo Box 1362Wildwood, FL 34785-1362 · (352) 292-6433
Sole ProprietorYes
Enumeration DateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1225797566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
603 PETERS ST, Wildwood, FL 34785

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beulah Jackson's NPI number?

The NPI number for Beulah Jackson is 1225797566. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Beulah Jackson located?

Beulah Jackson practices at 603 Peters St, Wildwood, FL 34785. The listed phone number is (352) 292-6433.

What is Beulah Jackson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Beulah Jackson was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.