Individual provider · NPI-1

Jarrell T Jackson

Home Health Aide · Norfolk, VA

NPI number1891153219
StatusActive
Last updated in NPPESJan 29, 2016

Details

NPI
1891153219
Entity type
Individual (NPI-1)
Name
Jarrell T Jackson
Sex
Male
Sole proprietor
No
Enumeration date
Jan 29, 2016
Last updated
Jan 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
372600000X Adult Companion––
3747P1801X Technician, Personal Care Attendant––

Other names

  • Jarrell T Jackson (Professional Name)

Practice location

1528 Palmetto St
Apt A
Norfolk, VA 23502-1528

Phone 757-741-7355

Mailing address

1528 Palmetto St
Apt A
Norfolk, VA 23502-1528

Phone 757-741-7355

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