PATRICE JACKSON
NPI 1689589905
Driver in Winter Haven, FL
About Patrice Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICE JACKSON (NPI 1689589905) is an individual driver provider in Winter Haven, Florida and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
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 Patrice Jackson's NPI number?
The NPI number for Patrice Jackson is 1689589905. It was assigned to this individual provider in the NPPES registry on August 19, 2026.
Where is Patrice Jackson located?
Patrice Jackson practices at 1925 Avenue O SW Unit 104, Winter Haven, FL 33880. The listed phone number is (863) 662-8896.
What is Patrice Jackson's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Patrice Jackson was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Patrice Jackson · NPI 1689589905
Driver provider in Winter Haven, Florida. Individual provider, active in the CMS NPPES registry since August 19, 2026.
## Identity
- **NPI:** 1689589905 (Entity type: Individual)
- **Enumerated:** August 19, 2026
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1925 AVENUE O SW UNIT 104, Winter Haven, FL 33880-2720
- **Phone:** (863) 662-8896
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689589905) · Data from the CMS NPPES public registry.