Individual provider · Type 1 NPI
Ikishia N. Jackson, R.N
Home Health Agency · Philadelphia, PA
Practice location
625 E Girard Ave Apt 1
Philadelphia, PA 19125-3400
Fax (215) 425-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 06650501 (PA) |
| Home Health Registered Nurse | 163WH0200X | 06650501 (PA) |
| Case Management Agency | 251B00000X | 06650501 (PA) |
| Home Health Agency | 251E00000X | 06650501 (PA) |
| Religious Nonmedical Health Care Institution | 282J00000X | 06650501 (PA) |
| Non-emergency Medical Transport (VAN) | 343900000X | 06650501 (PA) |
| Home Health Aide | 374U00000X | 06650501 (PA) |
| Homemaker | 376J00000X | 06650501 (PA) |
| Respite Care | 385H00000X | 06650501 (PA) |
| Home Health Agency Primary | 251E00000X | 652238 (PA) |
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…
2 other providers at this address
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About NPI 1912357682
Ikishia N. Jackson, R.N's National Provider Identifier is 1912357682, issued on Jun 14, 2016. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 27, 2021.