MS. MILDRED JEAN LEE-JACKSON PT
NPI 1780859728
Specialist in Niceville, FL

Q: What is Mildred Lee-jackson's NPI number?

The NPI number for Mildred Lee-jackson is 1780859728. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Q: What is Mildred Lee-jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 29, 2008

178 HOWARD ST, NICEVILLE, FL 32578(850) 678-6436 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Mildred Jean Lee-jackson Pt NPPES

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

MS. MILDRED JEAN LEE-JACKSON PT (NPI 1780859728) is an individual specialist in Niceville, Florida, licensed in Florida (PT0003333) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1780859728

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. MILDRED JEAN LEE-JACKSONCredential: PT

Location Address178 HOWARD STNiceville, FL 32578-8022

Mailing Address178 Howard StNiceville, FL 32578-8022 · (850) 678-6436

Phone(850) 678-6436

Sole ProprietorYes

Enumeration DateApril 29, 2008

✔ NPI 1780859728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · PT0003333

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

178 HOWARD ST, Niceville, FL 32578

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Other Identifiers 1

Medicaid891638100FL

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 Mildred Lee-jackson's NPI number?

The NPI number for Mildred Lee-jackson is 1780859728. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Mildred Lee-jackson located?

Mildred Lee-jackson practices at 178 Howard St, Niceville, FL 32578. The listed phone number is (850) 678-6436.

What is Mildred Lee-jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mildred Lee-jackson was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.