John Jackson
John Jackson is an In Home Supportive Care Agency in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
- Specialties on file
- 6
Practice location Address checks out
127 Tallulah AveJacksonville, FL 32208-4163
Phone: (904) 707-1943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (FL) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
| Transportation Broker | Taxonomy 347E00000X |
| Adult Companion | Taxonomy 372600000X |
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1427658160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2020 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
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