Individual provider · Type 1 NPI

Monifa Chyenn Jackson, HNT/SNT

Home Health Agency · Gulfport, MS

NPI number 1265316020 Active

Practice location

2700 25th Ave
Gulfport, MS 39501

Mailing address

2700 25th Ave Suite B
Gulfport, MS 39503

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1265316020

Monifa Chyenn Jackson, HNT/SNT's National Provider Identifier is 1265316020, issued on Aug 4, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 4, 2025.