Individual provider · Type 1 NPI

Jacqueline Jackson

Adult Companion · Thomasville, NC

NPI number 1366996712 Active

Practice location

14 W Main St, 320
Thomasville, NC 27360-3935

Fax (866) 505-8970

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XHC4848 (NC)
Home Health Aide 374U00000XHC4848 (NC)

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1366996712

Jacqueline Jackson's National Provider Identifier is 1366996712, issued on Aug 14, 2016. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Thomasville, NC. The record was last updated on Aug 14, 2016.