Je-Je Jackson
Home Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982148508
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1982148508
- Entity type
- Individual (NPI-1)
- Name
- Je-Je Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2016
- Last updated
- Dec 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 372600000X | Adult Companion | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 372500000X | Chore Provider | – | – |
Practice location
5604 Ashleigh Park DrJacksonville, FL 32244-7821
Phone 904-428-3182 · Fax 904-778-9707
Mailing address
5604 Ashleigh Park DrJacksonville, FL 32244-7821
Phone 904-428-3182 · Fax 904-778-9707
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All 536 Home Health Agency providers in Jacksonville · All 31,644 providers in Jacksonville
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