Individual provider · Type 1 NPI
Annie Jackson
Home Health Aide · Phoenix, IL
NPI number
1700338712
Active
Practice location
517 E 153rd St
Phoenix, IL 60426-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide Primary | 374U00000X | 043068868 (IL) |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
About NPI 1700338712
Annie Jackson's National Provider Identifier is 1700338712, issued on Oct 26, 2016. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Phoenix, IL. The record was last updated on Oct 26, 2016.