MRS. CAROLYN JACKSON12
NPI 1255077574
Technician - Attendant Care Provider in Lakeland, FL

Q: What is Carolyn Jackson12's NPI number?

The NPI number for Carolyn Jackson12 is 1255077574. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Q: What is Carolyn Jackson12's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Jackson12 was last updated on May 10, 2022. 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.

Active since May 10, 2022

6835 HUNTINGTON HILLS BLVD, LAKELAND, FL 33810(863) 602-4686 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Carolyn Jackson12 NPPES

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

MRS. CAROLYN JACKSON12 (NPI 1255077574) is an individual attendant care provider provider in Lakeland, Florida and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1255077574

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMRS. CAROLYN JACKSON12

Location Address6835 HUNTINGTON HILLS BLVDLakeland, FL 33810-5379

Mailing Address6835 Huntington Hills BlvdLakeland, FL 33810-5379 · (863) 602-4686

Phone(863) 602-4686

Sole ProprietorYes

Enumeration DateMay 10, 2022

NPPES CertifiedMay 10, 2022

✔ NPI 1255077574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

6835 HUNTINGTON HILLS BLVD, Lakeland, FL 33810

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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 Carolyn Jackson12's NPI number?

The NPI number for Carolyn Jackson12 is 1255077574. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Carolyn Jackson12 located?

Carolyn Jackson12 practices at 6835 Huntington Hills Blvd, Lakeland, FL 33810. The listed phone number is (863) 602-4686.

What is Carolyn Jackson12's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Carolyn Jackson12 was last updated on May 10, 2022. 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.