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NPI Code Detail

MEDICARE: JAKESHA STANLEY MA

MEDICARE:   JAKESHA  STANLEY  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy Technician1199663FL

General Provider Information

NPI Number : 1144079690
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAKESHA STANLEY MA
Provider Business Mailing Address
First Line : 2695 POST ST # 1005
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4230
Country : US
Telephone Number : 904-258-6667
Fax Number :
Provider Business Practice Location Address
First Line : 2695 POST ST # 1005
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4230
Country : US
Telephone Number : 904-258-6667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 06/06/2024

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Directions to “ JAKESHA STANLEY MA” Practice Location

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