MEDICARE: MS. JACKIE DENISE RICE LVN

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
1	164X00000X	Licensed Vocational Nurse	330013	TX

General Provider Information

NPI Number	:	1316438450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACKIE DENISE RICE LVN

Provider Business Mailing Address
First Line	:	4504 TREE LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-3822
Country	:	US
Telephone Number	:	817-805-4535
Fax Number	:

Provider Business Practice Location Address
First Line	:	4504 TREE LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-3822
Country	:	US
Telephone Number	:	817-805-4535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	05/24/2018

Similar Medicare Providers

1205867769 — THEODOR LEHRER MD
Practice Location Address:

2100 EAST COMMERCIAL BLVD
FORT LAUDERDALE, FL
33308-3822

Practice Phone: 954-772-0933
Practice Fax: 954-772-9680

1497859474 — HOLIDAY CVS LLC
Practice Location Address:

2150 E COMMERCIAL BLVD
FORT LAUDERDALE, FL
33308-3822

Practice Phone: 954-771-0660
Practice Fax:

1124207931 — EMILIYA S HILL MD
Practice Location Address:

3822 BROADWAY , SUITES A-C
FORT MYERS, FL
33901-8148

Practice Phone: 239-274-3004
Practice Fax: 239-274-6007

1508093154 — DR. REYNALDO PEZZOTTI SMITH M.D
Practice Location Address:

3822 BROADWAY
FORT MYERS, FL
33901-8148

Practice Phone: 239-900-9170
Practice Fax:

1811213184 — LEE COUNTY MEDICAL SOLUTIONS INC.
Practice Location Address:

3822 BROADWAY STE C
FORT MYERS, FL
33901-8148

Practice Phone: 239-274-3004
Practice Fax: 239-274-6007

1376852871 — MIAMI LAKES MEDICAL SOLUTIONS, INC
Practice Location Address:

3822 BROADWAY , SUITES A AND C
FORT MYERS, FL
33901-8148

Practice Phone: 239-274-3004
Practice Fax: 239-274-6007

Directions to “ MS. JACKIE DENISE RICE LVN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.