Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julliet Jackson

Individual provider Adult Care Home Facility · NPI 1922438464

Julliet Jackson is an Adult Care Home Facility in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

17345 Edgewater Dr
Port Charlotte, FL 33948-2343
Phone: (941) 766-0175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 6905617 (FL)

Record details

NPI number1922438464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2013
Last updated in NPPESNovember 20, 2013

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