Individual provider · Type 1 NPI

Holly Marie Jackson

Personal Care Attendant · Tipton, MO

NPI number 1689275802 Active

Practice location

29954 Bahner Quarry Rd
Tipton, MO 65081-3317

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone 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

Another provider at this address

About NPI 1689275802

Holly Marie Jackson's National Provider Identifier is 1689275802, issued on Nov 4, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Tipton, MO. The record was last updated on Jun 30, 2026.