License holder summary

OTAVIA G JACK is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for OTAVIA G JACK is 500 CROCKETT BLVD MERRITT ISLAND, FL 32953 UNITED STATES. This nurse license is current. The license was granted 10/13/2014 and expired on 05/31/2017.

Secretary of State

Board of Nursing

OTAVIA G JACK
Nursing - Certified Nursing Assistant
License number
CNA307254
Date granted
10/13/2014
Date expires
05/31/2017
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
500 CROCKETT BLVD MERRITT ISLAND, FL 32953 UNITED STATES
nursingflorida.org
ID 31732324
LAST UPDATED 2026-05-23 08:32:30 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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