Individual provider · Type 1 NPI

Kellie Nichelle Jackson

Personal Care Attendant · Riverview, FL

NPI number 1184567414 Active

Practice location

13923 Painted Bunting Ln
Riverview, FL 33579-3525

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency	253Z00000X	None listed
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Other personal care attendant providers in Riverview

See all in Riverview →

About NPI 1184567414

Kellie Nichelle Jackson's National Provider Identifier is 1184567414, issued on Apr 11, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Riverview, FL. The record was last updated on Apr 11, 2026.