Lisa Jackson, PCA
Nurse's Aide in Spring, TX. Individual provider (NPI-1).
NPI number1194292441
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1194292441
- Entity type
- Individual (NPI-1)
- Name
- Lisa Jackson
- Credential
- PCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2018
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | TX | Yes |
Practice location
2423 Montana Blue DrSpring, TX 77373-7871
Phone 832-484-2740
Mailing address
700 Smith St # 61070Houston, TX 77002-7871
Phone 832-484-2740
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