ARNITRA N JACKSON
NPI 1639909161
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since August 07, 2024
1643 W 19TH ST, JACKSONVILLE, FL 32209(904) 862-3294 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arnitra N Jackson NPPES

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

ARNITRA N JACKSON (NPI 1639909161) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1639909161
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameARNITRA N JACKSON
Location Address1643 W 19TH STJacksonville, FL 32209-4811
Mailing Address1643 W 19th StJacksonville, FL 32209-4811 · (904) 554-0371
Sole ProprietorYes
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1639909161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1643 W 19TH ST, Jacksonville, FL 32209

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 Arnitra Jackson's NPI number?

The NPI number for Arnitra Jackson is 1639909161. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Arnitra Jackson located?

Arnitra Jackson practices at 1643 W 19th St, Jacksonville, FL 32209. The listed phone number is (904) 862-3294.

What is Arnitra Jackson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Arnitra Jackson was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.