Individual provider · Type 1 NPI
Clissie Terersa Jackson, HOME CARE
Nurse's Aide · Birmingham, AL
Practice location
208 74th St N
Birmingham, AL 35206-4261
Fax (186) 665-9907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | 119405B (MO) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
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About NPI 1467721829
Clissie Terersa Jackson, HOME CARE's National Provider Identifier is 1467721829, issued on Dec 14, 2011. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Birmingham, AL. The record was last updated on Dec 14, 2011.