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RENUKA JACKSON

Nurse Practitioner

NPI: 1093330714IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

11007300(FL)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Address
6150 DIAMOND CENTRE CT UNIT 100
FORT MYERS, FL 33912

Quick Facts

NPI
1093330714
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
6

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